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Michigan rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$185.42 / $1,910.14 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.57 / $225.82 / $326.69
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,561.83 / $2,309.17 / $3,095.38
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.42 / $209.10 / $264.13
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.75 / $245.75 / $515.02
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$233.62 / $1,910.14 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$166.56 / $252.23 / $421.45
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.89 / $215.60 / $328.51
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,050.00 / $4,857.00 / $6,036.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$248.57 / $318.02 / $419.15