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Indiana 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 $6,310 · 10th–90th $30$8,5110%20%10th90th$6,310Professionalmedian $501 · 10th–90th $35$8710%10%10th90th$501$20.0$100.0$500.0$2.0K

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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$512.86
Typical High
$870.96
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$17.38
Median
$6,309.57
Typical High
$8,511.38
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$17.38
Median
$56.23
Typical High
$199.53
Cigna
Setting
Professional
Modifier
Global
Typical Low
$954.99
Median
$977.24
Typical High
$977.24
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$1,348.96