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Louisiana 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 $562 · 10th–90th $479$4,3650%20%10th90th$562Professionalmedian $646 · 10th–90th $479$8510%10%20%10th90th$646$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
$562.34
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$630.96
Typical High
$831.76
Christus
Setting
Facility
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,290.87
Median
$3,090.30
Typical High
$5,495.41
United
Setting
Professional
Modifier
Global
Typical Low
$645.65
Median
$776.25
Typical High
$1,202.26