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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Iowa 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?

$182

Typical negotiated rate. In Iowa, October 2026.

Insurers have agreed to pay about $182 for this service. Most negotiated rates run $3.02 to $191.

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

Facilitymedian $3 · 10th to 90th $3 to $3Professionalmedian $182 · 10th to 90th $3 to $191
$5$10$20$50$100$200facility $3professional $182

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$147.91
Median
$190.55
Typical High
$190.55
Hally Health
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$151.36
Typical High
$275.42
Midlands
Setting
Professional
Modifier
None
Typical Low
$190.55
Median
$190.55
Typical High
$302.00

Where Iowa 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.

Iowa· 3rd of 51

$182

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.