go back

South Dakota rates for HCPCS 41520

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$239.88 / $363.08 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$245.47 / $363.08 / $630.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$426.58 / $741.31 / $1,071.52
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$245.47 / $436.52 / $870.96
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$331.13 / $588.84 / $2,754.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$562.34 / $616.60 / $912.01
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$512.86 / $512.86 / $741.31
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$363.08 / $489.78 / $707.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,466.84 / $4,466.84 / $4,466.84
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$295.12 / $501.19 / $812.83
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$489.78 / $602.56 / $851.14