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Maine 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)

Professionalmedian $759 · 10th–90th $100$1,5140%10%10th90th$759$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
Professional
Modifier
Global
Typical Low
$100.00
Median
$741.31
Typical High
$1,071.52
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$144.54
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$1,096.48
Typical High
$2,041.74
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$741.31
Typical High
$1,071.52
United
Setting
Professional
Modifier
Global
Typical Low
$109.65
Median
$1,071.52
Typical High
$2,041.74