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Kansas 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 $479 · 10th–90th $479$2,0420%50%90th$479Professionalmedian $676 · 10th–90th $427$1,0720%10%10th90th$676$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
$478.63
Median
$478.63
Typical High
$478.63
Aetna
Setting
Professional
Modifier
Global
Typical Low
$426.58
Median
$575.44
Typical High
$1,071.52
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$812.83
Typical High
$954.99
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$537.03
Typical High
$2,041.74
Medica
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$1,000.00
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$2,290.87
Typical High
$3,801.89
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$1,000.00
Typical High
$1,258.93