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Illinois rates for HCPCS A4100

Nonsheet form skin substitute, FDA-cleared as a device, not otherwise specified (list in addition to primary procedure)

Facilitymedian $200 · 10th–90th $76$3,2360%20%10th90th$200Professionalmedian $93 · 10th–90th $66$1230%10%20%10th90th$93$5.0$20.0$100.0$500.0$2.0K

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
$75.86
Median
$199.53
Typical High
$3,235.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$169.82
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$158.49
Typical High
$158.49