go back

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 October 2026.

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

$117

Typical negotiated rate. In Connecticut, October 2026.

Insurers have agreed to pay about $117 for this service. Most negotiated rates run $102 to $138.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $117 · 10th to 90th $100 to $138
$100professional $117

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
Professional
Modifier
None
Typical Low
$81.28
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$40.74
Median
$54.95
Typical High
$54.95
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$16.22
Median
$22.39
Typical High
$22.39
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$12.30
Median
$16.60
Typical High
$16.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.13
Median
$10.96
Typical High
$10.96
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$100.00
Median
$117.49
Typical High
$151.36
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
ConnectiCare
Setting
Professional
Modifier
None
Typical Low
$131.83
Median
$204.17
Typical High
$257.04

Where Connecticut 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.

Connecticut· 19th of 51

$117

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.