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TheraSkin

New Hampshire rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $63 · 10th–90th $26$2950%20%10th90th$63Professionalmedian $52 · 10th–90th $52$1260%50%90th$52$20.0$50.0$100.0$200.0$500.0

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
$52.48
Median
$52.48
Typical High
$131.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$63.10
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$165.96
Cigna
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$251.19
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$52.48
Typical High
$125.89
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$23.99
Typical High
$25.70