go back

Alabama rates for HCPCS G0460

Autologous platelet rich plasma (PRP) or other blood-derived product for nondiabetic chronic wounds/ulcers (includes, as applicable: administration, dressings, phlebotomy, centrifugation or mixing, and all other preparatory procedures, per treatment)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$937.59 / $937.59 / $937.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $696.93 / $937.59
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1,335.59 / $1,620.80 / $2,180.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$230.95 / $630.72 / $630.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.53 / $169.50 / $260.27