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PRP or Other Blood-Derived Product, Diabetic Wounds

Missouri 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?

$676

Typical negotiated rate. In Missouri, July 2026.

Insurers have agreed to pay about $676 for this service. The price depends on where it is billed: about $692 from a physician practice, and about $537 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$692$479 to $832
FacilityA hospital or hospital-owned outpatient department$537$468 to $692

How much rates vary

Facilitymedian $537 · 10th to 90th $457 to $1,202Professionalmedian $692 · 10th to 90th $78 to $1,000
$100$200$500$1K$2K$5K$10Kfacility $537professional $692

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
$467.74
Median
$467.74
Typical High
$575.44
Aetna
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$512.86
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$691.83
Typical High
$851.14
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$1,023.29
Typical High
$1,348.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Medica
Setting
Facility
Modifier
Global
Typical Low
$398.11
Median
$575.44
Typical High
$1,445.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$912.01
Typical High
$5,011.87
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$6,456.54
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$218.78
Median
$831.76
Typical High
$1,479.11

Where Missouri 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.

Missouri· 35th of 51

$676

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.