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Foam Dressing, Wound Filler, Sterile, per G

Ohio rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $3$70%20%10th90th$4Professionalmedian $3 · 10th–90th $1$50%10%20%10th90th$3$0.1$0.5$2.0$10.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$7.41
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.79
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$1.12
Typical High
$1.82
CareSource
Setting
Facility
Modifier
Global
Typical Low
$0.07
Median
$0.07
Typical High
$0.08
CareSource
Setting
Professional
Modifier
Global
Typical Low
$0.09
Median
$0.09
Typical High
$0.09
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$1.35
Median
$2.04
Typical High
$33.11
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$75.86
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69