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TheraSkin

Michigan rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $182 · 10th–90th $55$2290%20%10th90th$182Professionalmedian $54 · 10th–90th $52$1260%50%10th90th$54$20.0$50.0$100.0$200.0$500.0$1.0K

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
$54.95
Median
$229.09
Typical High
$229.09
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$54.95
BCBS
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$21.88
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$67.61
Typical High
$125.89
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$79.43
Typical High
$154.88
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$138.04
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$67.61
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$125.89