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TheraSkin

South Dakota rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $52 · 10th–90th $49$850%50%10th90th$52Professionalmedian $52 · 10th–90th $52$1260%50%90th$52$50.0$100.0$200.0

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
$52.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$70.79
Typical High
$169.82
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$58.88
Typical High
$66.07
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$83.18
Typical High
$87.10
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$213.80
Midlands
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$61.66
Midlands
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$58.88
Typical High
$204.17
Midlands
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$97.72
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$43.65
Median
$43.65
Typical High
$43.65
United
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$125.89
Typical High
$239.88
Wellmark
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$52.48