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Nebraska 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 $1,380 · 10th–90th $617–$6,1660%5%10%10th90th$1,380Professionalmedian $676 · 10th–90th $91–$8710%10%20%10th90th$676$100.0$200.0$500.0$1.0K$2.0K$5.0K$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
$707.95 / $707.95 / $707.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$89.13 / $691.83 / $870.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,623.41 / $10,964.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$112.20 / $117.49 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$154.88 / $229.09 / $1,122.02
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$524.81 / $1,096.48 / $2,290.87
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $346.74 / $5,011.87
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$199.53 / $331.13 / $1,778.28
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$169.82 / $354.81 / $1,698.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2,570.40 / $2,754.23 / $3,467.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$114.82 / $234.42 / $489.78