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North Dakota 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 $794 · 10th–90th $537$7940%50%10th$794Professionalmedian $794 · 10th–90th $174$2,0890%5%10%10th90th$794$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$794.33
Typical High
$1,000.00
BCBS
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$234.42
Typical High
$2,137.96
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$794.33
Typical High
$1,348.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$741.31
Median
$1,412.54
Typical High
$1,995.26
United
Setting
Professional
Modifier
Global
Typical Low
$165.96
Median
$912.01
Typical High
$2,238.72