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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Maine 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?

$126

Typical negotiated rate. In Maine, July 2026.

Insurers have agreed to pay about $126 for this service. Most negotiated rates run $87.10 to $158.

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.

How much rates vary

Professionalmedian $126 · 10th to 90th $81 to $251
$5$10$20$50$100$200$500professional $126

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
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$120.23
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$125.89
Typical High
$181.97
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$190.55
Typical High
$363.08
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$93.33
Typical High
$131.83
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$181.97
Typical High
$363.08

Where Maine 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.

Maine· 6th of 51

$126

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.