go back

Rhode Island 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)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.39 / $110.14 / $748.21
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,521.69 / $3,542.30 / $4,142.60
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $208.77 / $350.53
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$276.70 / $630.72 / $630.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.06 / $235.95 / $1,156.50