go back

Nonsheet Skin Substitute, FDA-Cleared, Unclassified

California 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 October 2026.

How much does Nonsheet Skin Substitute, FDA-Cleared, Unclassified cost?

$102

Typical negotiated rate. In California, October 2026.

Insurers have agreed to pay about $102 for this service. Most negotiated rates run $75.86 to $661.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 9 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $69 to $186Professionalmedian $102 · 10th to 90th $69 to $1,096
$100$200$500$1Kfacility $100professional $102

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$74.13
Typical High
$75.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$67.61
Median
$69.18
Typical High
$75.86
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$33.11
Median
$34.67
Typical High
$38.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$13.49
Median
$13.80
Typical High
$15.14
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$10.00
Median
$10.47
Typical High
$11.22
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$6.76
Median
$6.92
Typical High
$7.59
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$120.23
Median
$147.91
Typical High
$257.04
Blue Shield
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$263.03
Typical High
$263.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Contra Costa Health
Setting
Professional
Modifier
None
Typical Low
$177.83
Median
$199.53
Typical High
$239.88
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$134.90
Median
$165.96
Typical High
$331.13
Lucent Health
Setting
Professional
Modifier
None
Typical Low
$660.69
Median
$660.69
Typical High
$1,096.48
Providence
Setting
Facility
Modifier
None
Typical Low
$69.18
Median
$151.36
Typical High
$190.55
Providence
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Professional
Modifier
None
Typical Low
$165.96
Median
$173.78
Typical High
$251.19

Where California sits

The same service costs 83.2 times more in North Dakota than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

California· 38th of 51

$102

ND $251KS $3.02

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.