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Massachusetts rates for HCPCS A4100

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

Facilitymedian $148 · 10th–90th $83$5010%20%10th90th$148Professionalmedian $112 · 10th–90th $71$3020%10%20%10th90th$112$5.0$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
$83.18
Median
$83.18
Typical High
$83.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$91.20
Typical High
$123.03
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$151.36
Median
$478.63
Typical High
$691.83
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
$128.82
Median
$181.97
Typical High
$257.04
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
$691.83
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$151.36
Median
$181.97
Typical High
$660.69
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$288.40
Typical High
$380.19