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Arizona 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)

Facilitymedian $170 · 10th–90th $43$8710%5%10th90th$170Professionalmedian $724 · 10th–90th $229$1,0720%10%20%10th90th$724$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$707.95
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$37.15
Median
$165.96
Typical High
$302.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$489.78
Typical High
$912.01
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$489.78
Typical High
$1,096.48
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$831.76
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$186.21
United
Setting
Professional
Modifier
Global
Typical Low
$389.05
Median
$794.33
Typical High
$1,122.02