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Michigan rates for HCPCS 41520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$331.13 / $2,884.03 / $7,079.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $354.81 / $645.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $380.19 / $380.19
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$239.88 / $380.19 / $489.78
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $380.19 / $776.25
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$346.74 / $2,884.03 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $371.54 / $616.60
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$251.19 / $371.54 / $776.25
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$891.25 / $6,025.60 / $10,715.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$257.04 / $371.54 / $549.54