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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Connecticut 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 $110 · 10th–90th $110$1100%50%100%$110Professionalmedian $93 · 10th–90th $3$1170%10%20%10th90th$93$5.0$10.0$20.0$50.0$100.0$200.0

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
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$93.33
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$3.89
Median
$5.89
Typical High
$147.91
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
ConnectiCare
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$204.17
Typical High
$257.04
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$380.19