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Montana rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$141.71 / $236.74 / $454.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47,000.00 / $77,999.99 / $94,999.99
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$232.40 / $232.40 / $413.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$232.40 / $232.40 / $232.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.38 / $259.11 / $551.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149.24 / $249.54 / $448.44
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$198.44 / $366.86 / $665.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$340.75 / $404.89 / $523.29