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Missouri 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 $759 · 10th–90th $200–$1,6980%20%10th90th$759Professionalmedian $646 · 10th–90th $89–$8710%20%10th90th$646$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
$691.83 / $691.83 / $851.14
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $691.83 / $851.14
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$309.03 / $691.83 / $977.24
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $154.88 / $154.88
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$173.78 / $758.58 / $1,819.70
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $229.09 / $5,011.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$154.88 / $6,918.31 / $13,182.57
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $181.97 / $524.81