go back

PRP or Other Blood-Derived Product, Diabetic Wounds

Massachusetts 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?

$1,000

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $1,000 for this service. The price depends on where it is billed: about $832 from a physician practice, and about $2,951 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$832$186 to $1,349
FacilityA hospital or hospital-owned outpatient department$2,951$2,455 to $3,467

How much rates vary

Facilitymedian $2,951 · 10th to 90th $126 to $4,169Professionalmedian $832 · 10th to 90th $102 to $2,570
$100$200$500$1K$2K$5Kfacility $2,951professional $832

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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$1,000.00
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,148.15
Typical High
$5,623.41
BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,691.53
Median
$3,090.30
Typical High
$4,073.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$4,897.79
Fallon Health
Setting
Professional
Modifier
Global
Typical Low
$1,230.27
Median
$1,513.56
Typical High
$1,949.84
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$1,096.48
Typical High
$2,630.27
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$346.74
Median
$1,148.15
Typical High
$5,623.41
United
Setting
Facility
Modifier
Global
Typical Low
$812.83
Median
$4,677.35
Typical High
$7,585.78
United
Setting
Professional
Modifier
Global
Typical Low
$138.04
Median
$1,047.13
Typical High
$2,570.40

Where Massachusetts 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.

Massachusetts· 5th of 51

$1,000

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.