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Nationwide rates for HCPCS G0465

Autologous platelet rich plasma (PRP) or other blood-derived product for diabetic chronic wounds/ulcers, using an FDA-cleared device for this indication, (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
$100.00 / $676.08 / $1,023.29
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$338.84 / $676.08 / $977.24
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$169.82 / $218.78 / $1,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.23 / $309.03 / $1,230.27
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$141.25 / $3,388.44 / $8,511.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$123.03 / $812.83 / $1,230.27
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,511.89 / $5,011.87 / $8,912.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$501.19 / $870.96 / $1,584.89