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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Hawaii 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?

$83.18

Typical negotiated rate. In Hawaii, July 2026.

Insurers have agreed to pay about $83.18 for this service. Most negotiated rates run $67.61 to $123.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $83 · 10th to 90th $3 to $158
$5.0$10.0$20.0$50.0$100.0$200.0professional $83

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
Professional
Modifier
Global
Typical Low
$3.02
Median
$75.86
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$173.78
Typical High
$218.78

Where Hawaii sits

The same service costs 2.6 times more in Alaska than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Hawaii $83.18 · 41st of 51
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.