go back

Montana rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $4 · 10th–90th $3–$50%20%10th90th$4Professionalmedian $4 · 10th–90th $4–$40%50%10th$4$2.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.72 / $3.98 / $3.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.88 / $4.07 / $5.50
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $79.43 / $85.11