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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Florida 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 $72$2090%50%10th90th$110Professionalmedian $98 · 10th–90th $68$1260%20%10th90th$98$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$72.44
Median
$109.65
Typical High
$18,197.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$97.72
Typical High
$123.03
AvMed
Setting
Facility
Modifier
Global
Typical Low
$93.33
Median
$102.33
Typical High
$123.03
AvMed
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$131.83
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$97.72
Typical High
$141.25
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$123.03
Typical High
$691.83
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$158.49
Typical High
$288.40
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$4.57
Typical High
$128.82