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PRP or Other Blood-Derived Product, Diabetic Wounds

Idaho 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?

$708

Typical negotiated rate. In Idaho, July 2026.

Insurers have agreed to pay about $708 for this service. The price depends on where it is billed: about $708 from a physician practice, and about $977 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 8 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$708$148 to $977
FacilityA hospital or hospital-owned outpatient department$977$661 to $3,715

How much rates vary

Facilitymedian $977 · 10th to 90th $79 to $4,898Professionalmedian $708 · 10th to 90th $79 to $1,738
$100$200$500$1K$2K$5Kfacility $977professional $708

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
$79.43
Median
$79.43
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$707.95
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,951.21
Median
$4,073.80
Typical High
$6,025.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$102.33
Typical High
$158.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$676.08
Typical High
$1,096.48
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$165.96
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,467.37
Median
$4,570.88
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$831.76
Typical High
$1,445.44
Select Health
Setting
Facility
Modifier
Global
Typical Low
$977.24
Median
$1,000.00
Typical High
$4,677.35
Select Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$1,023.29
Typical High
$1,380.38

Where Idaho 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.

Idaho· 30th of 51

$708

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.