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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Kansas 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 $126 · 10th–90th $3$1290%50%10th90th$126Professionalmedian $78 · 10th–90th $54$1350%10%20%10th90th$78$5.0$10.0$20.0$50.0$100.0

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
$3.09
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$134.90
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$100.00
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$107.15
Typical High
$125.89
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$158.49