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PRP or Other Blood-Derived Product, Diabetic Wounds

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)

Rates data updated July 2026.

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

$200

Typical physician fee. In Kentucky, July 2026.

Insurers have agreed to pay about $200 for this service. Most negotiated rates run $123 to $479.

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.

How much rates vary

Facilitymedian $407 · 10th to 90th $117 to $447Professionalmedian $200 · 10th to 90th $123 to $794
$100$200$500$1K$2K$5Kfacility $407professional $200

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
$407.38
Median
$407.38
Typical High
$446.68
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$478.63
Typical High
$812.83
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$147.91
Typical High
$199.53
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
$5,128.61
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

Where Kentucky 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.

Kentucky· 51st of 51

$200

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.