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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Pennsylvania 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?

$87.10

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $87.10 for this service. The price depends on where it is billed: about $87.10 from a physician practice, and about $74.13 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 6 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$87.10$74.13 to $102
FacilityA hospital or hospital-owned outpatient department$74.13$74.13 to $81.28

How much rates vary

Facilitymedian $74 · 10th to 90th $74 to $81Professionalmedian $87 · 10th to 90th $62 to $120
$5$10$20$50$100facility $74professional $87

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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$81.28
Typical High
$120.23
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
Professional
Modifier
Global
Typical Low
$154.88
Median
$218.78
Typical High
$263.03
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$218.78
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$74.13
Typical High
$81.28
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$85.11
Typical High
$120.23
United
Setting
Professional
Modifier
Global
Typical Low
$154.88
Median
$154.88
Typical High
$154.88

Where Pennsylvania 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.

Pennsylvania· 37th of 51

$87.10

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.