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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

New Mexico 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.

Facilitymedian $162 · 10th–90th $5$69,1830%10%10th90th$162Professionalmedian $85 · 10th–90th $3$1070%20%10th90th$85$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
$100.00
Median
$100.00
Typical High
$100.00
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$85.11
Typical High
$107.15
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$154.88
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.16
Median
$125.89
Typical High
$281.84
Providence
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
United
Setting
Facility
Modifier
Global
Typical Low
$154.88
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$218.78
Typical High
$218.78