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Miroderm

Montana rates for HCPCS Q4175

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

Rates data updated October 2026.

How much does Miroderm cost?

$79.43

Typical negotiated rate. In Montana, October 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $148 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$77.62 to $126
FacilityA hospital or hospital-owned outpatient department$148$77.62 to $158

How much rates vary

Facilitymedian $148 · 10th to 90th $78 to $209Professionalmedian $79 · 10th to 90th $78 to $126
$100$200facility $148professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$91.20
Median
$95.50
Typical High
$107.15
Cigna
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$204.17
Cigna
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$77.62
MountainHealth Co-op
Setting
Facility
Modifier
None
Typical Low
$125.89
Median
$158.49
Typical High
$208.93
MountainHealth Co-op
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$141.25
Typical High
$158.49
Providence
Setting
Facility
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$204.17
Providence
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$77.62
Typical High
$79.43
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89

Where Montana sits

The same service costs 2.1 times more in Alaska than in Montana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 51st of 51

$79.43

AK $170MT $79.43

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.