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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)

Facilitymedian $676 · 10th–90th $74$5,2480%20%10th90th$676Professionalmedian $631 · 10th–90th $427$1,2020%10%10th90th$631$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
Facility
Modifier
Global
Typical Low
$74.13
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$588.84
Typical High
$1,000.00
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
$2,951.21
Median
$4,786.30
Typical High
$5,754.40
United
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,174.90
Typical High
$2,041.74
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$213.80
Typical High
$2,137.96