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Ohio 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
$91.54 / $91.54 / $107.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $94.29
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $105.27 / $177.73
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$91.54 / $91.54 / $138.22
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $123.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.36 / $86.36 / $91.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $129.22
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Low / Median / High Price
$136.00 / $136.00 / $136.00
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $129.54
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.56 / $88.03 / $116.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.54 / $91.54 / $117.72