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Georgia 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 $692 · 10th–90th $692$6920%50%$692Professionalmedian $708 · 10th–90th $427$1,0000%20%10th90th$708$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
Facility
Modifier
Global
Typical Low
$691.83
Median
$691.83
Typical High
$691.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$676.08
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$776.25
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$93.33
Typical High
$1,071.52
United
Setting
Facility
Modifier
Global
Typical Low
$3,548.13
Median
$3,548.13
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,000.00
Typical High
$1,862.09