go back

Massachusetts rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.85 / $1,823.00 / $3,363.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $223.80 / $454.57
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$159.83 / $1,007.04 / $4,569.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$206.32 / $414.70 / $1,849.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$175.18 / $225.11 / $401.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.02 / $427.90 / $718.95
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$324.83 / $408.97 / $500.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$183.25 / $354.00 / $711.72
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.94 / $377.00 / $6,679.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$298.64 / $388.10 / $560.59
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$213.63 / $401.00 / $700.41
Health New England
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,813.34 / $1,813.34 / $1,813.34
Health New England
Facility/Professional
Professional
Modifier
Low / Median / High Price
$237.49 / $237.49 / $237.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,640.00 / $4,755.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.70 / $624.70 / $1,849.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$669.00 / $2,338.00 / $4,952.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.51 / $386.27 / $814.43