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Colorado 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
$890.75 / $890.75 / $890.75
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $622.19 / $890.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$824.60 / $1,102.10 / $1,575.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.63 / $803.63 / $803.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.72 / $630.72 / $630.72
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$157.91 / $890.75 / $1,309.57
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.72 / $436.16 / $1,350.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.15 / $216.60 / $589.15