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Wisconsin rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Facilitymedian $6 · 10th–90th $4–$650%20%40%10th90th$6Professionalmedian $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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $3.98 / $3.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.83 / $0.83 / $1.26
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $31.62 / $50.12
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $12.59 / $14.45
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.07 / $7.24
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $7.41 / $10.00
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.07 / $4.79 / $100.00
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $11.22
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,888.44 / $5,888.44 / $5,888.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.95 / $2.95 / $5.89