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Skin Substitute, Unclassified

Wisconsin rates for HCPCS Q4100

Skin substitute, not otherwise specified

Rates data updated July 2026.

How much does Skin Substitute, Unclassified cost?

$64.57

Typical facility fee. In Wisconsin, July 2026.

Insurers have agreed to pay about $64.57 for this service. Most negotiated rates run $33.11 to $100.

Few insurers publish rates for this combination, so treat this figure as a rough guide.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $100 · 10th to 90th $65 to $2,692Professionalmedian $33 · 10th to 90th $32 to $71
$50$100$200$500$1K$2Kfacility $100professional $33

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$2,691.53
Medica
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$4,168.69
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$251.19
Median
$251.19
Typical High
$2,691.53
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00

Where Wisconsin sits

The same service costs 20893.0 times more in Arkansas 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.

Wisconsin· 21st of 32

$64.57

AR $524,807MS $25.12

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.