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Nebraska 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 $3,467 · 10th–90th $479$7,5860%10%10th90th$3,467Professionalmedian $479 · 10th–90th $100$1,4130%20%10th90th$479$100.0$200.0$500.0$1.0K$2.0K$5.0K$10.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$478.63
Typical High
$1,071.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$478.63
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$5,623.41
Typical High
$10,964.78
BCBS
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$338.84
Typical High
$338.84
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$630.96
Typical High
$1,348.96
Medica
Setting
Facility
Modifier
Global
Typical Low
$457.09
Median
$831.76
Typical High
$2,691.53
Medica
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,348.96
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$891.25
Typical High
$2,187.76
Midlands
Setting
Professional
Modifier
Global
Typical Low
$89.13
Median
$199.53
Typical High
$2,041.74
United
Setting
Facility
Modifier
Global
Typical Low
$2,570.40
Median
$2,754.23
Typical High
$3,467.37
United
Setting
Professional
Modifier
Global
Typical Low
$323.59
Median
$1,318.26
Typical High
$1,949.84