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New Jersey rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$380.19 / $4,677.35 / $10,471.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$144.54 / $263.03 / $616.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $245.47 / $245.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $269.15 / $602.56
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $331.13 / $524.81
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,884.03 / $4,570.88 / $7,585.78
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$117.49 / $269.15 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,137.96 / $5,128.61 / $8,511.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$112.20 / $204.17 / $436.52