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TheraSkin

Texas rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $98 · 10th–90th $51$2630%20%10th90th$98Professionalmedian $54 · 10th–90th $52$1260%50%10th90th$54$2.0$10.0$50.0$200.0$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
$52.48
Median
$53.70
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$57.54
BCBS
Setting
Facility
Modifier
Global
Typical Low
$45.71
Median
$107.15
Typical High
$218.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Christus
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$120.23
Typical High
$125.89
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$302.00
Typical High
$851.14
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$707.95
Typical High
$707.95
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$660.69
Typical High
$660.69
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$141.25
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$186.21
Typical High
$229.09
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$48.98
Typical High
$48.98
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$42.66
Median
$42.66
Typical High
$42.66
Providence
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$75.86
Typical High
$204.17
Providence
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$125.89
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$120.23
Typical High
$169.82