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Kansas rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$328.58 / $3,232.00 / $10,439.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.04 / $241.00 / $427.91
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$238.62 / $238.62 / $238.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.71 / $198.71 / $335.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$596.00 / $786.00 / $786.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$159.46 / $269.92 / $442.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$153.44 / $273.82 / $559.26
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.73 / $373.06 / $1,940.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$816.00 / $2,081.00 / $3,918.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$231.49 / $294.44 / $508.73