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FlexHD or AllopatchHD

Wisconsin rates for HCPCS Q4128

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

Rates data updated July 2026.

Facilitymedian $66 · 10th–90th $30$7080%20%10th90th$66Professionalmedian $46 · 10th–90th $30$2240%20%10th90th$46$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$30.90
Median
$44.67
Typical High
$5,495.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$35.48
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$34.67
Median
$48.98
Typical High
$93.33
Cigna
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$125.89
Typical High
$223.87
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$67.61
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$33.88
Median
$33.88
Typical High
$33.88
Medica
Setting
Facility
Modifier
Global
Typical Low
$30.90
Median
$31.62
Typical High
$75.86
Medica
Setting
Professional
Modifier
Global
Typical Low
$30.90
Median
$30.90
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Network Health
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$32.36
Network Health
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$32.36
Typical High
$52.48
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$30.20
Median
$30.90
Typical High
$67.61
Quartz
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$275.42
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
$40.74
Median
$40.74
Typical High
$50.12
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