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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Nebraska 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?

$102

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $102 for this service. The price depends on where it is billed: about $102 from a physician practice, and about $2,455 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$102$74.13 to $107
FacilityA hospital or hospital-owned outpatient department$2,455$129 to $3,236

How much rates vary

Facilitymedian $2,455 · 10th to 90th $100 to $5,012Professionalmedian $102 · 10th to 90th $3 to $123
$10$100$1Kfacility $2,455professional $102

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$102.33
Typical High
$123.03
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,398.83
Median
$3,162.28
Typical High
$6,165.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$147.91
Typical High
$181.97
Medica
Setting
Facility
Modifier
Global
Typical Low
$3.02
Median
$3.02
Typical High
$100.00
United
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$208.93
Typical High
$338.84
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$263.03
Typical High
$323.59

Where Nebraska 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.

Nebraska· 15th of 51

$102

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.