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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Oregon 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 October 2026.

How much does Nonsheet Skin Substitute, FDA-Cleared, Unclassified cost?

$123

Typical negotiated rate. In Oregon, October 2026.

Insurers have agreed to pay about $123 for this service. Most negotiated rates run $102 to $151.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $178 · 10th to 90th $117 to $355Professionalmedian $123 · 10th to 90th $102 to $219
$100$200facility $178professional $123

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$112.20
Median
$123.03
Typical High
$123.03
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$56.23
Median
$61.66
Typical High
$61.66
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
None
Typical Low
$151.36
Median
$281.84
Typical High
$371.54
Moda Health
Setting
Facility
Modifier
None
Typical Low
$123.03
Median
$177.83
Typical High
$354.81
Moda Health
Setting
Professional
Modifier
None
Typical Low
$123.03
Median
$123.03
Typical High
$269.15
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$61.66
Median
$61.66
Typical High
$61.66
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$25.12
Median
$25.12
Typical High
$25.12
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$18.62
Median
$18.62
Typical High
$18.62
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$12.30
Median
$12.30
Typical High
$12.30
Providence
Setting
Facility
Modifier
None
Typical Low
$117.49
Median
$169.82
Typical High
$354.81
Providence
Setting
Professional
Modifier
None
Typical Low
$70.79
Median
$102.33
Typical High
$102.33
Regence BlueShield
Setting
Professional
Modifier
None
Typical Low
$204.17
Median
$218.78
Typical High
$346.74

Where Oregon sits

The same service costs 83.2 times more in North Dakota than in Kansas. 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.

Oregon· 17th of 51

$123

ND $251KS $3.02

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.