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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Michigan 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?

$93.33

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $93.33 for this service. The price depends on where it is billed: about $93.33 from a physician practice, and about $93.33 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 5 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$93.33$77.62 to $110
FacilityA hospital or hospital-owned outpatient department$93.33$93.33 to $117

How much rates vary

Facilitymedian $93 · 10th to 90th $93 to $295Professionalmedian $93 · 10th to 90th $66 to $123
$5$10$20$50$100$200facility $93professional $93

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
$93.33
Median
$93.33
Typical High
$93.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$123.03
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$162.18
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$131.83
Typical High
$346.74
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$117.49
Typical High
$158.49
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$154.88
Typical High
$154.88
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93

Where Michigan 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.

Michigan· 26th of 51

$93.33

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.