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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Massachusetts 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?

$132

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $132 for this service. The price depends on where it is billed: about $132 from a physician practice, and about $170 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 7 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$132$93.33 to $245
FacilityA hospital or hospital-owned outpatient department$170$83.18 to $251

How much rates vary

Facilitymedian $170 · 10th to 90th $83 to $708Professionalmedian $132 · 10th to 90th $76 to $324
$10$100$1K$10Kfacility $170professional $132

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$93.33
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$478.63
Typical High
$707.95
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$660.69
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$181.97
Typical High
$2,951.21
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$181.97
Typical High
$275.42
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$229.09
Typical High
$338.84
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$478.63
Typical High
$707.95
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$660.69
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$275.42
Typical High
$275.42
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$354.81

Where Massachusetts 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.

Massachusetts· 4th of 51

$132

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.