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Nevada 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)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.68 / $777.99 / $889.52
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$538.04 / $777.99 / $896.54
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.30 / $173.21 / $648.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$818.96 / $818.96 / $818.96
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$91.32 / $1,064.65 / $1,682.15
Hometown Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2,021.63 / $2,021.63 / $2,021.63
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.02 / $124.53 / $1,596.98
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$734.08 / $871.72 / $1,445.24