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Montana rates for HCPCS 15829

Rhytidectomy; superficial musculoaponeurotic system (SMAS) flap

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,605.88 / $2,605.88 / $2,605.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4,211.66 / $4,211.66 / $4,211.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,235.17 / $4,211.66 / $4,394.68
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,051.89 / $2,445.67 / $5,959.31
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,553.06 / $3,829.99 / $4,394.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3,938.78 / $4,548.89 / $4,955.64