go back

North Carolina 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 $741 · 10th–90th $363$1,0470%20%40%10th90th$741Professionalmedian $741 · 10th–90th $427$1,0720%10%20%10th90th$741$10.0$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
$741.31
Median
$741.31
Typical High
$741.31
Aetna
Setting
Professional
Modifier
Global
Typical Low
$446.68
Median
$741.31
Typical High
$933.25
BCBS
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$1,000.00
Typical High
$1,778.28
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$776.25
Typical High
$1,047.13
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$776.25
Typical High
$1,479.11
Wellcare
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Wellcare
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$5,623.41
Typical High
$7,762.47