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Missouri rates for HCPCS 41520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$413.62 / $3,131.00 / $7,365.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$242.46 / $341.05 / $578.99
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$862.00 / $1,785.00 / $4,773.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$247.00 / $345.75 / $573.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,213.00 / $2,213.00 / $2,213.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.68 / $390.35 / $694.81
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$255.80 / $404.38 / $1,784.94
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$343.63 / $688.92 / $2,727.76
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,440.66 / $3,796.00 / $6,980.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$330.00 / $478.61 / $914.94