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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)

Facilitymedian $891 · 10th–90th $295$6,9180%20%40%10th90th$891Professionalmedian $468 · 10th–90th $83$8130%20%10th90th$468$1.0$10.0$100.0$1.0K$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
$891.25 / $891.25 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $676.08 / $891.25
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5,011.87 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$81.28 / $218.78 / $229.09
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
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$295.12 / $295.12 / $295.12
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$239.88 / $323.59 / $489.78
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $169.82 / $1,071.52
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$891.25 / $891.25 / $891.25
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $645.65 / $812.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.60 / $331.13 / $416.87
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $208.93 / $416.87
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $208.93 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3,715.35 / $6,025.60 / $6,918.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $177.83 / $363.08