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Washington rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $3 · 10th–90th $3–$100%50%90th$3Professionalmedian $4 · 10th–90th $3–$40%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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $9.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $4.07
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $2.95
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.57 / $32.36 / $64.57
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
Pacific Source
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.82 / $2.82 / $2.82
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69