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PRP or Other Blood-Derived Product, Nondiabetic Wounds

New Hampshire 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?

$263

Typical physician fee. In New Hampshire, October 2026.

Insurers have agreed to pay about $263 for this service. Most negotiated rates run $155 to $501.

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

Facilitymedian $3,631 · 10th to 90th $3,631 to $4,365Professionalmedian $257 · 10th to 90th $93 to $501
$100$200$500$1K$2K$5Kfacility $3,631professional $257

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$87.10
Median
$87.10
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$501.19
Median
$501.19
Typical High
$501.19
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$162.18
Median
$281.84
Typical High
$537.03
United
Setting
Professional
Modifier
None
Typical Low
$128.82
Median
$251.19
Typical High
$457.09
Well Sense
Setting
Facility
Modifier
None
Typical Low
$3,630.78
Median
$3,630.78
Typical High
$4,365.16
4 more rates with less common billing modifiers

A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.

Insurance Carrier
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$43.65
Median
$43.65
Typical High
$58.88
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$17.38
Median
$17.38
Typical High
$23.44
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$13.18
Median
$13.18
Typical High
$17.38
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$8.71
Median
$8.71
Typical High
$11.75

Where New Hampshire 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.

New Hampshire· 17th of 51

$263

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.