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Miroderm

Wisconsin rates for HCPCS Q4175

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

Rates data updated July 2026.

Facilitymedian $135 · 10th–90th $68$4900%20%10th90th$135Professionalmedian $126 · 10th–90th $72$2140%20%10th90th$126$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$107.15
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$134.90
Median
$154.88
Typical High
$154.88
Cigna
Setting
Facility
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$346.74
Cigna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$125.89
Typical High
$223.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$204.17
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$69.18
Typical High
$204.17
Medica
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$213.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$54.95
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$67.61
Typical High
$72.44
Network Health
Setting
Professional
Modifier
Global
Typical Low
$70.79
Median
$72.44
Typical High
$117.49
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$93.33
Typical High
$204.17
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$229.09
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$123.03
Typical High
$151.36
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$162.18