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Iowa rates for HCPCS Q4175

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $92.45
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.86 / $82.27 / $89.76
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$87.64 / $137.31 / $165.69
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $91.35 / $167.36
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.72 / $67.72 / $135.44
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.70 / $82.27 / $103.57
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.12 / $82.27 / $103.57
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $119.09
Wellmark
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.72 / $67.72 / $67.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.50 / $67.72 / $67.72