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North Carolina 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 $724 · 10th–90th $123–$1,0230%20%10th90th$724Professionalmedian $331 · 10th–90th $145–$7590%10%10th90th$331$0.5$2.0$10.0$50.0$200.0$1.0K$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
$741.31 / $741.31 / $741.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$87.10 / $691.83 / $812.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $309.03 / $707.95
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 / $162.18
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $691.83 / $1,000.00
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$190.55 / $190.55 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $138.04 / $346.74
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5,011.87 / $5,011.87 / $5,011.87