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Oregon rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$291.48 / $2,747.00 / $8,728.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $241.75 / $704.41
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$316.32 / $316.32 / $1,937.44
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.33 / $383.91 / $705.07
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$279.33 / $410.41 / $636.60
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.42 / $359.64 / $629.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$235.90 / $397.29 / $624.29
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.84 / $472.15 / $527.29
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$210.42 / $385.05 / $679.62
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$277.12 / $430.65 / $688.25
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3,539.74 / $4,743.41 / $5,709.03
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$278.30 / $460.47 / $720.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,472.00 / $4,880.00 / $7,233.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.18 / $506.35 / $820.52