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Tennessee rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$287.56 / $1,939.00 / $6,681.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.81 / $237.08 / $449.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$945.00 / $2,066.00 / $2,805.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.13 / $265.67 / $463.91
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$231.19 / $373.00 / $1,487.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$150.58 / $253.03 / $453.49
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.00 / $1,007.04 / $1,036.38
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1,062.40 / $1,849.76 / $2,169.60
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$875.00 / $2,257.00 / $4,099.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$222.40 / $306.47 / $531.84