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New Hampshire 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 $776 · 10th–90th $83$1,0960%20%40%10th90th$776Professionalmedian $776 · 10th–90th $89$2,1880%5%10%10th90th$776$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$83.18
Median
$776.25
Typical High
$1,096.48
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$812.83
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$1,071.52
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$102.33
Median
$1,122.02
Typical High
$2,818.38
United
Setting
Professional
Modifier
Global
Typical Low
$112.20
Median
$1,122.02
Typical High
$2,818.38