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Pennsylvania rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$284.51 / $2,240.00 / $7,799.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.96 / $241.00 / $436.47
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,344.69 / $3,159.00 / $14,886.03
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$249.84 / $259.27 / $387.64
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$260.64 / $356.00 / $795.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.41 / $242.09 / $434.75
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$327.54 / $327.54 / $327.54
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$303.74 / $402.94 / $514.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,984.39 / $3,083.03 / $5,114.70
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$540.00 / $2,483.00 / $7,984.48
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$145.11 / $260.05 / $669.97
Oscar Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$182.80 / $182.80 / $182.80
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $234.30 / $712.00
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.35 / $352.32 / $1,113.00
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.28 / $247.18 / $450.00
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$142.94 / $186.84 / $254.24
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.60 / $216.19 / $274.62
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$528.00 / $1,728.00 / $4,300.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$201.61 / $280.52 / $467.12