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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Virginia 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?

$115

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $115 for this service. The price depends on where it is billed: about $110 from a physician practice, and about $126 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 7 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$110$93.33 to $126
FacilityA hospital or hospital-owned outpatient department$126$107 to $162

How much rates vary

Facilitymedian $126 · 10th to 90th $93 to $214Professionalmedian $110 · 10th to 90th $69 to $170
$5$10$20$50$100$200$500facility $126professional $110

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
$93.33
Median
$93.33
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$239.88
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$120.23
Median
$151.36
Typical High
$239.88
Medcost
Setting
Facility
Modifier
Global
Typical Low
$70.79
Median
$107.15
Typical High
$186.21
Medcost
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Sentara
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$223.87
Sentara
Setting
Professional
Modifier
Global
Typical Low
$114.82
Median
$128.82
Typical High
$223.87
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$275.42

Where Virginia 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.

Virginia· 10th of 51

$115

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.