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Massachusetts rates for HCPCS 41520

Frenoplasty (surgical revision of frenum, eg, with Z-plasty)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$371.54 / $2,818.38 / $5,011.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $977.24
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $5,011.87 / $28,840.32
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $2,630.27
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$302.00 / $302.00 / $691.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$524.81 / $758.58 / $1,659.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$588.84 / $645.65 / $3,090.30
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $436.52 / $912.01
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $512.86 / $7,079.46
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$389.05 / $562.34 / $776.25
Harvard Pilgrim
Facility/Professional
Facility
Modifier
Low / Median / High Price
$776.25 / $5,011.87 / $13,182.57
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$281.84 / $478.63 / $933.25
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$630.96 / $5,011.87 / $28,840.32
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $446.68 / $2,630.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,584.89 / $5,011.87 / $12,882.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $446.68 / $912.01