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New Mexico rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$286.73 / $2,145.78 / $7,838.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.43 / $236.12 / $370.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$770.41 / $2,740.37 / $45,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.82 / $186.37 / $352.63
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$217.66 / $217.66 / $244.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$171.24 / $268.12 / $456.69
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $72.46 / $381.75
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$144.04 / $234.20 / $333.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$176.59 / $307.54 / $558.69
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$755.00 / $3,085.00 / $5,060.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$261.64 / $361.03 / $550.14