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TheraSkin

Wisconsin 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 $49$4900%20%10th90th$98Professionalmedian $66 · 10th–90th $50$2290%20%10th90th$66$5.0$20.0$100.0$500.0$2.0K

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
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$54.95
Typical High
$57.54
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$70.79
Typical High
$134.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$169.82
Typical High
$263.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$123.03
Typical High
$138.04
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$117.49
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$53.70
Medica
Setting
Facility
Modifier
Global
Typical Low
$48.98
Median
$50.12
Typical High
$213.80
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$48.98
Typical High
$102.33
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$51.29
Network Health
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$51.29
Typical High
$87.10
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$52.48
Typical High
$117.49
Quartz
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$295.12
Typical High
$416.87
Quartz
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$707.95
Quartz
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$660.69
Security Health
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$70.79
Typical High
$87.10
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$295.12
United
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$144.54