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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Nationwide rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Rates data updated July 2026.

Facilitymedian $138 · 10th–90th $71$4790%20%10th90th$138Professionalmedian $98 · 10th–90th $58$1480%20%10th90th$98$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$53.70
Median
$97.72
Typical High
$141.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$93.33
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$181.97
Median
$251.19
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$125.89
Typical High
$208.93
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$354.81
Typical High
$1,096.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$173.78
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$218.78
Typical High
$354.81