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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Alabama 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 $126 · 10th–90th $107$1550%50%10th90th$126Professionalmedian $76 · 10th–90th $3$1170%20%10th90th$76$5.0$10.0$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$72.44
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$154.88
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$141.25
Typical High
$239.88