go back

Kentucky 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 $407 · 10th–90th $141$4470%20%40%10th90th$407Professionalmedian $447 · 10th–90th $123$8710%10%10th90th$447$20.0$50.0$100.0$200.0$500.0$1.0K$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
$407.38
Median
$407.38
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$602.56
Typical High
$870.96
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$199.53
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
$4,265.80
Molina
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$812.83
Typical High
$1,380.38