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PRP or Other Blood-Derived Product, Diabetic Wounds

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)

Rates data updated July 2026.

How much does PRP or Other Blood-Derived Product, Diabetic Wounds cost?

$513

Typical negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $513 for this service. The price depends on where it is billed: about $513 from a physician practice, and about $490 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 6 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$513$174 to $776
FacilityA hospital or hospital-owned outpatient department$490$490 to $2,754

How much rates vary

Facilitymedian $490 · 10th to 90th $490 to $5,495Professionalmedian $513 · 10th to 90th $129 to $977
$200$500$1K$2K$5Kfacility $490professional $513

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
$489.78
Median
$489.78
Typical High
$489.78
Aetna
Setting
Professional
Modifier
Global
Typical Low
$478.63
Median
$512.86
Typical High
$776.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$128.82
Median
$128.82
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$123.03
Median
$128.82
Typical High
$128.82
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
$501.19
Median
$933.25
Typical High
$1,288.25
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$104.71
Typical High
$1,122.02
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
$707.95
Median
$891.25
Typical High
$1,202.26

Where Michigan 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.

Michigan· 46th of 51

$513

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.