go back

Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Kentucky 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?

$72.44

Typical negotiated rate. In Kentucky, July 2026.

Insurers have agreed to pay about $72.44 for this service. The price depends on where it is billed: about $72.44 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$72.44$61.66 to $97.72
FacilityA hospital or hospital-owned outpatient department$70.79$61.66 to $174

How much rates vary

Facilitymedian $71 · 10th to 90th $62 to $38,905Professionalmedian $72 · 10th to 90th $3 to $120
$10$100$1K$10Kfacility $71professional $72

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
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$70.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$70.79
Typical High
$109.65
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$125.89
Typical High
$144.54
CareSource
Setting
Facility
Modifier
Global
Typical Low
$38,904.51
Median
$51,286.14
Typical High
$56,234.13
CareSource
Setting
Professional
Modifier
Global
Typical Low
$46,773.51
Median
$48,977.88
Typical High
$51,286.14
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
$616.60
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$112.20
Typical High
$162.18

Where Kentucky sits

The same service costs 2.6 times more in Alaska than in Mississippi. 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.

Kentucky· 50th of 51

$72.44

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.