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Oregon rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $3 · 10th–90th $3–$40%50%90th$3Professionalmedian $4 · 10th–90th $3–$40%50%10th90th$4$1.0$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
$2.88 / $2.88 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.00 / $3.98 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $173.78 / $208.93
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $6.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.98 / $5.01
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $6.31
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $79.43