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New Mexico 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 $977 · 10th–90th $120$69,1830%5%10th90th$977Professionalmedian $794 · 10th–90th $85$1,2880%10%10th90th$794$100.0$500.0$2.0K$10.0K$50.0K

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
$588.84
Median
$588.84
Typical High
$588.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$741.31
Typical High
$1,071.52
BCBS
Setting
Facility
Modifier
Global
Typical Low
$56,234.13
Median
$69,183.10
Typical High
$81,283.05
BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$218.78
Typical High
$1,288.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Molina
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$85.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$107.15
Median
$794.33
Typical High
$1,905.46
Providence
Setting
Professional
Modifier
Global
Typical Low
$177.83
Median
$977.24
Typical High
$1,819.70
United
Setting
Facility
Modifier
Global
Typical Low
$4,073.80
Median
$4,073.80
Typical High
$8,912.51
United
Setting
Professional
Modifier
Global
Typical Low
$239.88
Median
$1,202.26
Typical High
$1,548.82