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Oklahoma rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$341.98 / $2,397.00 / $6,435.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$143.43 / $222.50 / $277.06
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,436.64 / $5,337.43 / $8,353.70
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.25 / $248.15 / $340.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$154.36 / $243.50 / $379.45
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.15 / $268.47 / $1,473.00
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.40 / $308.70 / $1,940.40
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$575.00 / $1,928.00 / $4,012.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$209.32 / $268.04 / $416.34