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Florida 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
$491.99 / $633.62 / $746.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$491.99 / $678.35 / $831.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.96 / $818.96 / $818.96
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$428.16 / $668.82 / $1,006.07
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$551.87 / $736.95 / $1,230.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.54 / $759.74 / $759.74