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New Jersey 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 $4,169 · 10th–90th $832$9,1200%20%10th90th$4,169Professionalmedian $794 · 10th–90th $490$9550%20%10th90th$794$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
$831.76
Median
$831.76
Typical High
$831.76
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$741.31
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,122.02
Median
$1,258.93
Typical High
$1,621.81
Horizon BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,888.44
Typical High
$9,549.93
Horizon BCBS
Setting
Professional
Modifier
Global
Typical Low
$707.95
Median
$812.83
Typical High
$1,096.48
United
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$3,981.07
Typical High
$8,709.64
United
Setting
Professional
Modifier
Global
Typical Low
$66.07
Median
$741.31
Typical High
$1,479.11