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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

New York 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 $132 · 10th–90th $81$2000%20%40%10th90th$132Professionalmedian $98 · 10th–90th $71$1320%20%10th90th$98$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
$81.28
Median
$131.83
Typical High
$144.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$95.50
Typical High
$131.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$125.89
Typical High
$194.98
Cigna
Setting
Facility
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$229.09
Typical High
$537.03
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$204.17
Typical High
$257.04
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
United
Setting
Facility
Modifier
Global
Typical Low
$138.04
Median
$138.04
Typical High
$138.04
United
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$154.88
Typical High
$263.03