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PRP or Other Blood-Derived Product, Nondiabetic Wounds

Pennsylvania 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?

$209

Typical negotiated rate. In Pennsylvania, October 2026.

Insurers have agreed to pay about $209 for this service. The price depends on where it is billed: about $209 from a physician practice, and about $3,715 from a hospital or other facility.

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 9 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$209$129 to $240
FacilityA hospital or hospital-owned outpatient department$3,715$209 to $5,370

How much rates vary

Facilitymedian $3,715 · 10th to 90th $48 to $6,918Professionalmedian $209 · 10th to 90th $83 to $759
$100$1K$10K$100Kfacility $3,715professional $209

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
Facility
Modifier
None
Typical Low
$676.08
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$891.25
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$134.90
Typical High
$177.83
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$67.61
Typical High
$89.13
Capital Blue Cross
Setting
Facility
Modifier
None
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$56,234.13
Capital Blue Cross
Setting
Professional
Modifier
None
Typical Low
$81.28
Median
$218.78
Typical High
$229.09
Cigna
Setting
Professional
Modifier
None
Typical Low
$154.88
Median
$154.88
Typical High
$154.88
Emblem Health
Setting
Professional
Modifier
None
Typical Low
$257.04
Median
$389.05
Typical High
$1,202.26
Geisinger
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$169.82
Typical High
$1,096.48
Martin's Point
Setting
Facility
Modifier
None
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$676.08
Median
$676.08
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$338.84
Median
$338.84
Typical High
$446.68
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$134.90
Median
$134.90
Typical High
$177.83
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$102.33
Median
$102.33
Typical High
$134.90
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$67.61
Median
$67.61
Typical High
$89.13
Oscar Health
Setting
Professional
Modifier
None
Typical Low
$389.05
Median
$389.05
Typical High
$389.05
UPMC Health Plan
Setting
Facility
Modifier
None
Typical Low
$47.86
Median
$128.82
Typical High
$208.93
UPMC Health Plan
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$128.82
Typical High
$208.93
United
Setting
Facility
Modifier
None
Typical Low
$2,818.38
Median
$6,025.60
Typical High
$6,918.31
United
Setting
Professional
Modifier
None
Typical Low
$77.62
Median
$177.83
Typical High
$331.13

Where Pennsylvania 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.

Pennsylvania· 26th of 51

$209

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.