| Code | Description | States | Median rate |
|---|---|---|---|
| 41010 | Tongue-tie release (frenotomy) | 48 | $151.95 |
| 41100 | Biopsy of the front two-thirds of the tongue | 48 | $143.07 |
| 41105 | Tongue biopsy, back third | 47 | $143.16 |
| 41108 | Biopsy of the floor of the mouth | 48 | $112.73 |
| 41115 | Tongue-tie release (lingual frenectomy) | 47 | $183.65 |
| 41120 | Removal of less than half the tongue | 48 | $790.51 |
| 41130 | Removal of half the tongue | 47 | $933.28 |
| 41140 | Total tongue removal, no neck dissection | 47 | $1,559.45 |
| 41145 | Total tongue removal with neck dissection, one side | 47 | $1,953.85 |
| 41512 | Tongue base suspension for sleep apnea | 39 | $525.06 |
| 41530 | Tongue base radiofrequency reduction for sleep apnea | 39 | $775.27 |
| 41599 | Unlisted tongue or mouth floor procedure | 11 | $179.87 |
| 41800 | Drainage of an abscess in the tooth-bearing gum area | 48 | $231.02 |
| 41820 | Gum removal (gingivectomy), each quadrant | 37 | $196.76 |
| 41821 | Removal of gum flap over a tooth (operculectomy) | 33 | $83.84 |
| 41828 | Removal of overgrown gum tissue, each quadrant | 44 | $265.23 |
| 41850 | Destruction of a gum or jaw ridge lesion | 34 | $84.13 |
| 41870 | Gum graft (periodontal mucosal graft) | 30 | $321.31 |
| 41872 | Gum reshaping (gingivoplasty), each quadrant | 43 | $343.73 |
| 41874 | Jaw ridge bone smoothing, each quadrant | 44 | $296.77 |
| 41899 | Unlisted gum or jaw ridge procedure | 20 | $214.94 |
Published Medicaid fee-for-service schedule amounts, not a coverage or eligibility guarantee. Managed-care plan rates can differ. Where no prior-authorization flag is shown, the state does not publish one. Descriptions are ProviderSignal's own plain-language labels or public-domain CMS text.