go back

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.

Facilitymedian $74 · 10th–90th $74$810%50%90th$74Professionalmedian $87 · 10th–90th $62$1200%10%20%10th90th$87$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
$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