go back

Georgia rates for HCPCS Q4175

Miroderm, per sq cm (add-on, list separately in addition to primary procedure)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.20 / $91.20 / $91.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $109.65
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$151.36 / $199.53 / $199.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.10 / $87.10 / $91.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.20 / $91.20 / $104.71
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.33 / $128.82 / $204.17
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $134.90 / $190.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $125.89 / $190.55