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Foam Dressing, Wound Filler, Sterile, per G

South Dakota 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?

$10.23

Typical negotiated rate. In South Dakota, October 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $4.79 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 5 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$10.23$3.63 to $12.59
FacilityA hospital or hospital-owned outpatient department$4.79$4.79 to $7.76

How much rates vary

Facilitymedian $5 · 10th to 90th $5 to $17Professionalmedian $10 · 10th to 90th $3 to $13
$5$10facility $5professional $10

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$5.25
Median
$5.25
Typical High
$5.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Cigna
Setting
Facility
Modifier
None
Typical Low
$13.49
Median
$13.49
Typical High
$16.98
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.23
Median
$10.23
Typical High
$12.59
Medica
Setting
Facility
Modifier
None
Typical Low
$4.79
Median
$4.79
Typical High
$6.76
Midlands
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Midlands
Setting
Professional
Modifier
None
Typical Low
$12.59
Median
$12.59
Typical High
$12.59
Wellmark
Setting
Professional
Modifier
None
Typical Low
$3.63
Median
$3.63
Typical High
$3.63

Where South Dakota 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.

South Dakota· 4th of 51

$10.23

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.