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New York rates for HCPCS 41520

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

Facilitymedian $3,802 · 10th–90th $417$9,3330%5%10th90th$3,802Professionalmedian $398 · 10th–90th $251$8910%10%10th90th$398$100.0$500.0$2.0K$10.0K$50.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$380.19 / $3,090.30 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$245.47 / $371.54 / $741.31
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$223.87 / $223.87 / $223.87
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,630.27 / $4,786.30 / $9,549.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$331.13 / $389.05 / $676.08
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$354.81 / $1,698.24 / $6,165.95
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$354.81 / $354.81 / $524.81
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$416.87 / $1,659.59 / $50,118.72
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$263.03 / $467.74 / $1,047.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$251.19 / $309.03 / $891.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$416.87 / $537.03 / $812.83
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$338.84 / $338.84 / $338.84
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$275.42 / $478.63 / $776.25
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,168.69 / $4,168.69 / $5,248.07
MVP Health Care
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $50,118.72 / $75,857.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$398.11 / $467.74 / $954.99
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,187.76 / $5,128.61 / $12,302.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$257.04 / $537.03 / $1,445.44
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$204.17 / $302.00 / $1,023.29
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$295.12 / $436.52 / $870.96