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West Virginia rates for HCPCS 41115

Excision of lingual frenum (frenectomy)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$155.88 / $273.64 / $7,961.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$135.81 / $222.49 / $302.23
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$139.44 / $152.38 / $182.30
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$139.80 / $162.05 / $257.89
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$244.35 / $244.35 / $244.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$152.87 / $261.76 / $639.91
Highmark BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,772.54 / $2,461.26 / $4,378.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$185.59 / $260.69 / $402.59