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Foam Dressing, Wound Filler, Sterile, per G

Montana rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$50%20%10th90th$4Professionalmedian $4 · 10th–90th $3$50%50%10th90th$4$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
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
Providence
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$5.50
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$85.11