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Foam Dressing, Wound Filler, Sterile, per G

Washington rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

Facilitymedian $3 · 10th–90th $3$100%50%90th$3Professionalmedian $4 · 10th–90th $3$50%50%10th90th$4$1.0$2.0$5.0$10.0$20.0$50.0

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
$9.55
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
$2.57
Median
$32.36
Typical High
$64.57
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
Pacific Source
Setting
Professional
Modifier
Global
Typical Low
$2.82
Median
$2.82
Typical High
$2.82
United
Setting
Professional
Modifier
Global
Typical Low
$2.69
Median
$2.69
Typical High
$2.69
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$0.83