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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 October 2026.

How much does Foam Dressing, Wound Filler, Sterile, per G cost?

$5.62

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $5.62 for this service. The price depends on where it is billed: about $5.62 from a physician practice, and about $27.54 from a hospital or other facility.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$5.62$4.07 to $37.15
FacilityA hospital or hospital-owned outpatient department$27.54$5.62 to $42.66

How much rates vary

Facilitymedian $28 · 10th to 90th $4 to $5,012Professionalmedian $6 · 10th to 90th $3 to $39
$10$100$1K$10K$100Kfacility $28professional $6

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$79,432.82
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$37.15
Median
$37.15
Typical High
$38.90
Cigna
Setting
Facility
Modifier
None
Typical Low
$3.47
Median
$3.47
Typical High
$3.47
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$5.62
Median
$27.54
Typical High
$44.67
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$5.62
Median
$5.62
Typical High
$5.62
United
Setting
Professional
Modifier
None
Typical Low
$54.95
Median
$60.26
Typical High
$67.61

Where Pennsylvania sits

The same service costs 95.5 times more in Montana than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Pennsylvania· 5th of 51

$5.62

MT $79.43GA $0.83

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.