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Vermont 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
$54.95 / $234.42 / $812.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$134.90 / $288.40 / $630.96
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.09 / $269.15 / $512.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.33 / $186.21 / $870.96