go back

Kentucky rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.22 / $400.00 / $8,229.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.22 / $241.00 / $371.51
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$226.41 / $226.41 / $226.41
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,041.00 / $2,067.00 / $2,978.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.28 / $174.13 / $299.97
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$135.46 / $185.92 / $214.47
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$129.81 / $189.39 / $334.03
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.35 / $244.35 / $244.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$146.94 / $238.31 / $435.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $249.05
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$523.00 / $794.00 / $5,301.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$217.17 / $279.97 / $465.39