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Missouri rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$290.68 / $2,414.00 / $6,284.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.52 / $242.46 / $505.00
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.08 / $227.25 / $384.69
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,652.00 / $1,652.00 / $1,652.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.22 / $262.66 / $470.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$140.57 / $270.62 / $659.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$241.22 / $496.18 / $1,940.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,380.00 / $2,332.00 / $3,041.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.49 / $345.07 / $578.78