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West 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$653.89 / $653.89 / $653.89
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.66 / $665.07 / $896.54
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$803.63 / $803.63 / $803.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$630.72 / $630.72 / $630.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $100.83 / $248.90