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Idaho 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)

Facilitymedian $525 · 10th–90th $62–$4,0740%10%10th90th$525Professionalmedian $525 · 10th–90th $78–$7940%10%10th90th$525$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$61.66 / $61.66 / $120.23
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $537.03 / $794.33
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $2,454.71 / $4,897.79
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $977.24 / $1,202.26
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$89.13 / $660.69 / $1,174.90
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $537.03 / $1,071.52
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,311.31 / $4,073.80 / $6,025.60
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$181.97 / $1,071.52 / $1,318.26
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$120.23 / $120.23 / $4,365.16
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $173.78 / $407.38