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TheraSkin

Washington rates for HCPCS Q4121

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

Rates data updated July 2026.

Facilitymedian $81 · 10th–90th $31$3090%10%10th90th$81Professionalmedian $58 · 10th–90th $51$1350%20%40%10th90th$58$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
$57.54
Median
$269.15
Typical High
$309.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$53.70
Typical High
$147.91
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$25.70
Median
$125.89
Typical High
$125.89
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$141.25
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$245.47
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$91.20
Typical High
$380.19
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$89.13
Typical High
$123.03
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$75.86
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$46.77
Median
$52.48
Typical High
$60.26
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$25.12
Typical High
$51.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$53.70
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$23.44
Median
$25.70
Typical High
$125.89
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$125.89
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$154.88
Typical High
$295.12