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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

Washington 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?

$110

Typical negotiated rate. In Washington, July 2026.

Insurers have agreed to pay about $110 for this service. The price depends on where it is billed: about $107 from a physician practice, and about $263 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 8 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$107$81.28 to $182
FacilityA hospital or hospital-owned outpatient department$263$182 to $316

How much rates vary

Facilitymedian $263 · 10th to 90th $112 to $363Professionalmedian $107 · 10th to 90th $62 to $288
$5$10$20$50$100$200$500facility $263professional $107

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
$107.15
Median
$107.15
Typical High
$107.15
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$89.13
Typical High
$125.89
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$234.42
Typical High
$323.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$102.33
Typical High
$102.33
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$144.54
Median
$269.15
Typical High
$363.08
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$144.54
Median
$275.42
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$50.12
Typical High
$75.86
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$162.18
Median
$223.87
Typical High
$309.03
United
Setting
Facility
Modifier
Global
Typical Low
$302.00
Median
$302.00
Typical High
$302.00
United
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$154.88
Typical High
$323.59
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$4.57
Median
$154.88
Typical High
$295.12

Where Washington 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.

Washington· 11th of 51

$110

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.