go back

Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Nevada 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 $129 · 10th–90th $12$1290%50%10th$129Professionalmedian $93 · 10th–90th $68$1290%20%10th90th$93$5.0$10.0$20.0$50.0$100.0$200.0

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
$12.30
Median
$128.82
Typical High
$128.82
Aetna
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$93.33
Typical High
$125.89
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$125.89
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$223.87
Hometown Health
Setting
Professional
Modifier
Global
Typical Low
$190.55
Median
$190.55
Typical High
$190.55
Select Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$128.82
Select Health
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$114.82
Typical High
$147.91
United
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$190.55