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South Carolina rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$307.50 / $3,776.00 / $7,796.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$142.57 / $225.15 / $388.89
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,004.37 / $1,932.98 / $3,048.31
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$140.18 / $207.78 / $317.60
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$207.80 / $300.39 / $425.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$160.15 / $261.48 / $503.42
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$170.81 / $265.00 / $442.93
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$180.00 / $215.21 / $635.84
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.26 / $231.28 / $374.22
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$586.00 / $6,172.00 / $8,667.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$207.96 / $270.47 / $531.84