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Missouri rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $5 · 10th–90th $4–$480%20%40%10th90th$5Professionalmedian $4 · 10th–90th $1–$40%50%10th$4$1.0$2.0$5.0$10.0$20.0$50.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $1.20
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.90 / $11.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69