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Foam Dressing, Wound Filler, Sterile, per G

Illinois rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$480%50%90th$4Professionalmedian $4 · 10th–90th $3$50%50%10th90th$4$1.0$5.0$20.0$100.0

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
$4.07
Median
$4.07
Typical High
$47.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$154.88
Typical High
$346.74
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$2.51
Median
$2.51
Typical High
$2.69