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TheraSkin

Maine rates for HCPCS Q4121

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

Rates data updated October 2026.

How much does TheraSkin cost?

$126

Typical negotiated rate. In Maine, October 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $54.95 to $126.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $55 · 10th to 90th $55 to $331Professionalmedian $126 · 10th to 90th $52 to $158
$100$200facility $55professional $126

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$95.50
Median
$125.89
Typical High
$173.78
Cigna
Setting
Facility
Modifier
None
Typical Low
$144.54
Median
$190.55
Typical High
$363.08
Cigna
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$107.15
Typical High
$151.36
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$54.95
Typical High
$54.95
United
Setting
Professional
Modifier
None
Typical Low
$107.15
Median
$125.89
Typical High
$186.21

Where Maine sits

The same service costs 2.8 times more in Utah than in North Carolina. 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.

Maine· 12th of 51

$126

UT $126NC $45.71

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.