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Montana 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 / $724.44
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$46,773.51 / $81,283.05 / $95,499.26
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$398.11 / $398.11 / $575.44
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$398.11 / $398.11 / $398.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$263.03 / $389.05 / $1,071.52
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Low / Median / High Price
$436.52 / $575.44 / $676.08
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Low / Median / High Price
$436.52 / $575.44 / $676.08
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$275.42 / $416.87 / $741.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.11 / $524.81 / $933.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$354.81 / $478.63 / $676.08