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Virginia 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 $363 · 10th–90th $123–$1,3180%10%10th90th$363Professionalmedian $240 · 10th–90th $83–$8130%10%20%10th90th$240$0.0$0.2$2.0$20.0$200.0$2.0K

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
$144.54 / $234.42 / $891.25
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$83.18 / $645.65 / $891.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $223.87 / $363.08
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,513.56 / $2,290.87 / $2,754.23
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$177.83 / $213.80 / $316.23
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$117.49 / $263.03 / $1,174.90
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$104.71 / $117.49 / $331.13
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$123.03 / $776.25 / $2,398.83
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$151.36 / $794.33 / $2,398.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $3,981.07 / $12,589.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $162.18 / $338.84