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PRP or Other Blood-Derived Product, Nondiabetic Wounds

Maine 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)

Rates data updated October 2026.

How much does PRP or Other Blood-Derived Product, Nondiabetic Wounds cost?

$200

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $155 to $427.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $200 · 10th to 90th $117 to $501
$100$200$500$1Kprofessional $200

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$144.54
Typical High
$199.53
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$72.44
Typical High
$100.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$28.84
Typical High
$39.81
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$21.38
Typical High
$29.51
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$14.45
Typical High
$19.95
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$426.58
Median
$501.19
Typical High
$630.96
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$223.87
Typical High
$363.08
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$117.49
Median
$199.53
Typical High
$199.53
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$58.88
Median
$100.00
Typical High
$100.00
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$23.44
Median
$39.81
Typical High
$39.81
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$17.38
Median
$29.51
Typical High
$29.51
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$11.75
Median
$19.95
Typical High
$19.95
United
Setting
Professional
Modifier
None
Typical Low
$125.89
Median
$199.53
Typical High
$371.54

Where Maine sits

The same service costs 7.6 times more in Colorado than in Rhode Island. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 29th of 51

$200

CO $912RI $120

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.