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Foam Dressing, Wound Filler, Sterile, per G

Utah rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $5$50%50%$5Professionalmedian $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
$4.79
Median
$4.79
Typical High
$4.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.79
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95
Molina
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$3.09
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,128.61
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$2.40
Median
$2.40
Typical High
$2.40