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PRP or Other Blood-Derived Product, Diabetic Wounds

Iowa 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)

Rates data updated July 2026.

How much does PRP or Other Blood-Derived Product, Diabetic Wounds cost?

$589

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $589 from a physician practice, and about $955 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$589$537 to $1,175
FacilityA hospital or hospital-owned outpatient department$955$589 to $4,467

How much rates vary

Facilitymedian $955 · 10th to 90th $209 to $5,248Professionalmedian $589 · 10th to 90th $166 to $1,862
$100$200$500$1K$2K$5Kfacility $955professional $589

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$588.84
Typical High
$588.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$1,047.13
Typical High
$1,318.26
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$776.25
Typical High
$1,380.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$208.93
Median
$1,202.26
Typical High
$4,677.35
Medica
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$1,122.02
Typical High
$2,344.23
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$954.99
Typical High
$2,137.96
United
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$4,786.30
Typical High
$5,623.41
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,174.90
Typical High
$2,089.30
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$194.98
Typical High
$2,511.89

Where Iowa sits

The same service costs 18.2 times more in Oklahoma than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Iowa· 41st of 51

$589

OK $3,631KY $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.