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Nonsheet Skin Substitute, FDA-Cleared, Unclassified

West 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?

$77.62

Typical negotiated rate. In West Virginia, July 2026.

Insurers have agreed to pay about $77.62 for this service. The price depends on where it is billed: about $77.62 from a physician practice, and about $69.18 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 3 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$77.62$69.18 to $93.33
FacilityA hospital or hospital-owned outpatient department$69.18$69.18 to $77.62

How much rates vary

Facilitymedian $69 · 10th to 90th $69 to $174Professionalmedian $78 · 10th to 90th $3 to $107
$5.0$10.0$20.0$50.0$100.0$200.0$500.0facility $69professional $78

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
$69.18
Median
$69.18
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.02
Median
$77.62
Typical High
$107.15
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
$616.60
United
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$208.93
Typical High
$208.93
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$173.78
Typical High
$173.78

Where West Virginia sits

The same service costs 2.6 times more in Alaska than in Mississippi. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

West Virginia $77.62 · 46th of 51
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.