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Michigan 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 $490 · 10th–90th $490$5,4950%50%90th$490Professionalmedian $692 · 10th–90th $135$9770%10%10th90th$692$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$691.83
Typical High
$933.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$134.90
Typical High
$134.90
BCBS
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$134.90
Typical High
$141.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$125.89
Median
$977.24
Typical High
$1,122.02
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$489.78
Median
$2,238.72
Typical High
$2,511.89
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$933.25
Typical High
$1,288.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$2,137.96
Median
$3,467.37
Typical High
$6,606.93
United
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$870.96
Typical High
$1,148.15