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Foam Dressing, Wound Filler, Sterile, per G

Pennsylvania rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$50%50%90th$4Professionalmedian $4 · 10th–90th $3$60%50%10th90th$4$2.0$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$4.07
Median
$4.07
Typical High
$5.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$5.37
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$8,511.38
Typical High
$77,624.71
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$38.90
Typical High
$38.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$3.47
Median
$3.47
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$5.13
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.98
Median
$4.07
Typical High
$5.25
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$54.95
Typical High
$67.61