go back

Foam Dressing, Wound Filler, Sterile, per G

Wisconsin rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated July 2026.

How much does Foam Dressing, Wound Filler, Sterile, per G cost?

$4.07

Typical negotiated rate. In Wisconsin, July 2026.

Insurers have agreed to pay about $4.07 for this service. The price depends on where it is billed: about $4.07 from a physician practice, and about $6.17 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$4.07$4.07 to $4.07
FacilityA hospital or hospital-owned outpatient department$6.17$4.07 to $28.18

How much rates vary

Facilitymedian $6 · 10th to 90th $4 to $65Professionalmedian $4 · 10th to 90th $3 to $13
$1$2$5$10$20$50$100facility $6professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$18.62
Typical High
$18.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$4.07
Typical High
$4.07
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.83
Median
$0.83
Typical High
$1.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$24.55
Median
$28.18
Typical High
$45.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$12.59
Typical High
$14.45
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$7.24
DeanCare
Setting
Professional
Modifier
Global
Typical Low
$6.61
Median
$7.41
Typical High
$10.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.79
Typical High
$100.00
Medica
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$50.12
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$4.07
Median
$4.07
Typical High
$7.24
Quartz
Setting
Professional
Modifier
Global
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$100.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$2.95
Median
$2.95
Typical High
$2.95

Where Wisconsin sits

The same service costs 3.2 times more in New Jersey than in Kansas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Wisconsin· 31st of 51

$4.07

NJ $4.79KS $1.51

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.