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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)

Facilitymedian $537 · 10th–90th $457$1,2020%20%10th90th$537Professionalmedian $631 · 10th–90th $78$9770%10%10th90th$631$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

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
$426.58
Median
$562.34
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$691.83
Typical High
$870.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$1,000.00
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
$891.25
Median
$6,918.31
Typical High
$13,182.57
United
Setting
Professional
Modifier
Global
Typical Low
$288.40
Median
$851.14
Typical High
$1,288.25