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Minnesota rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.57 / $258.47 / $2,042.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.57 / $236.74 / $442.29
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$679.71 / $2,458.81 / $5,419.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$290.97 / $508.21 / $923.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$600.76 / $937.63 / $2,255.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.13 / $582.37 / $1,100.96
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$491.56 / $826.68 / $1,776.06
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$313.55 / $543.84 / $1,008.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$187.40 / $323.25 / $747.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$287.82 / $649.97 / $1,940.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,224.00 / $3,500.00 / $6,361.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$274.73 / $503.12 / $1,009.97