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Illinois 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 $513 · 10th–90th $100$3,2360%20%10th90th$513Professionalmedian $589 · 10th–90th $87$9770%10%10th90th$589$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
$85.11
Median
$512.86
Typical High
$1,513.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$537.03
Typical High
$977.24
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,630.27
Median
$2,951.21
Typical High
$3,630.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$691.83
Typical High
$912.01
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$933.25
Typical High
$1,479.11
Hally Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$112.20
Typical High
$1,174.90
United
Setting
Facility
Modifier
Global
Typical Low
$3,090.30
Median
$5,011.87
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$954.99
Typical High
$1,548.82