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PRP or Other Blood-Derived Product, Diabetic Wounds

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)

Rates data updated July 2026.

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

$589

Typical negotiated rate. In Illinois, July 2026.

Insurers have agreed to pay about $589 for this service. The price depends on where it is billed: about $631 from a physician practice, and about $513 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 5 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$631$95.50 to $977
FacilityA hospital or hospital-owned outpatient department$513$513 to $2,630

How much rates vary

Facilitymedian $513 · 10th to 90th $132 to $3,236Professionalmedian $631 · 10th to 90th $85 to $1,072
$100$200$500$1K$2K$5Kfacility $513professional $631

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
$85.11
Median
$512.86
Typical High
$977.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$512.86
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
$85.11
Median
$812.83
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
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
$1,000.00
Typical High
$1,659.59

Where Illinois 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.

Illinois· 40th 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.