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Foam Dressing, Wound Filler, Sterile, per G

Wisconsin rates for HCPCS A6215

Foam dressing, wound filler, sterile, per g

Rates data updated October 2026.

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

$2.95

Typical negotiated rate. In Wisconsin, October 2026.

Insurers have agreed to pay about $2.95 for this service. The price depends on where it is billed: about $2.95 from a physician practice, and about $24.55 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$2.95$2.88 to $6.61
FacilityA hospital or hospital-owned outpatient department$24.55$2.88 to $27.54

How much rates vary

Facilitymedian $25 · 10th to 90th $3 to $42Professionalmedian $3 · 10th to 90th $3 to $13
$1$2$5$10$20$50$100facility $25professional $3

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$2.88
Median
$2.88
Typical High
$2.88
Aetna
Setting
Professional
Modifier
None
Typical Low
$2.88
Median
$2.88
Typical High
$7.08
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$0.83
Median
$1.45
Typical High
$1.45
Cigna
Setting
Facility
Modifier
None
Typical Low
$24.55
Median
$27.54
Typical High
$41.69
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$12.59
DeanCare
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
DeanCare
Setting
Professional
Modifier
None
Typical Low
$6.61
Median
$7.76
Typical High
$9.33
Medica
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$100.00
Medica
Setting
Professional
Modifier
None
Typical Low
$11.22
Median
$11.22
Typical High
$11.22
Prevea360
Setting
Facility
Modifier
None
Typical Low
$4.07
Median
$4.07
Typical High
$4.07
Quartz
Setting
Professional
Modifier
None
Typical Low
$5,888.44
Median
$5,888.44
Typical High
$5,888.44
Quartz
Setting
Professional
Modifier
None
Typical Low
$2.95
Median
$2.95
Typical High
$2.95

Where Wisconsin sits

The same service costs 95.5 times more in Montana than in Georgia. 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· 35th of 51

$2.95

MT $79.43GA $0.83

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.