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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)

Facilitymedian $977 · 10th–90th $79$4,8980%10%20%10th90th$977Professionalmedian $708 · 10th–90th $79$1,1220%10%10th90th$708$50.0$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
$79.43
Median
$79.43
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
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
$478.63
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$660.69
Typical High
$1,071.52
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$707.95
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
$3,311.31
Median
$4,570.88
Typical High
$6,025.60
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$562.34
Typical High
$1,445.44
Select Health
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$977.24
Typical High
$3,548.13
United
Setting
Professional
Modifier
Global
Typical Low
$794.33
Median
$1,023.29
Typical High
$1,348.96