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Colorado 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
$88.35 / $100.72 / $1,064.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.72 / $538.04 / $1,064.46
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$825.80 / $1,077.54 / $1,632.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.96 / $818.96 / $818.96
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.72 / $746.98 / $1,357.19
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$110.44 / $436.16 / $1,475.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$779.96 / $1,055.24 / $1,683.48