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Foam Dressing, Wound Filler, Sterile, per G

Texas rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$110%50%90th$4Professionalmedian $4 · 10th–90th $3$50%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
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.47
Median
$4.07
Typical High
$4.68
BCBS
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$9.55
Typical High
$4,168.69
BCBS
Setting
Professional
Modifier
Global
Typical Low
$4.37
Median
$4.37
Typical High
$4.37
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$8.71
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$81.28
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.27
Typical High
$8.71
Providence
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
United
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.88
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$1.15