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Arizona 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
Professional
Modifier
Low / Median / High Price
$77.22 / $622.19 / $894.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.72 / $630.72 / $630.72
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.79 / $461.15 / $935.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.01 / $155.31 / $4,977.89
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.92 / $121.63 / $436.62