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Texas rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $4 · 10th–90th $4$110%50%10th90th$4Professionalmedian $4 · 10th–90th $3$40%50%10th90th$4$1.0$5.0$20.0$100.0$500.0$2.0K

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.07
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.47 / $3.98 / $4.07
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $9.55 / $3,388.44
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.37 / $4.37 / $4.37
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $8.51
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.07
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $81.28
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.27 / $8.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $0.83