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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)

Facilitymedian $2,951 · 10th–90th $126$4,1690%10%20%10th90th$2,951Professionalmedian $794 · 10th–90th $102$2,3990%5%10th90th$794$100.0$500.0$2.0K$10.0K$50.0K

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
$812.83
Median
$812.83
Typical High
$812.83
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$741.31
Typical High
$1,071.52
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
$87.10
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
$3,715.35
Typical High
$8,128.31
United
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$1,096.48
Typical High
$2,511.89