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Maine rates for HCPCS 41520

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $707.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $416.87 / $724.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$416.87 / $416.87 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $426.58 / $812.83
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$288.40 / $524.81 / $954.99
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $416.87 / $891.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$269.15 / $436.52 / $741.31