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Utah rates for HCPCS 41115

Excision Lingual Frenum Frenectomy

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$198.62 / $2,833.00 / $4,387.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.96 / $222.50 / $512.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$177.71 / $279.36 / $479.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.49 / $183.25 / $258.70
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,237.82 / $2,891.57 / $4,213.85
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$211.42 / $327.08 / $467.23
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,689.00 / $2,312.00 / $4,640.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$220.72 / $304.50 / $522.00