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Georgia 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
$243.09 / $702.99 / $702.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $688.70 / $800.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$182.21 / $303.20 / $594.49
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$223.49 / $223.49 / $223.49
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 / $637.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.08 / $825.08 / $1,237.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.22 / $197.74 / $428.18