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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.

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

$93.33

Typical negotiated rate. In Connecticut, July 2026.

Insurers have agreed to pay about $93.33 for this service. Most negotiated rates run $72.44 to $110.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $110 · 10th to 90th $110 to $110Professionalmedian $93 · 10th to 90th $3 to $117
$5$10$20$50$100facility $110professional $93

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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

Where Connecticut sits

The same service costs 2.6 times more in Alaska than in Mississippi. 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.

Connecticut· 32nd of 51

$93.33

AK $182MS $69.18

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.