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New York 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 $214 · 10th–90th $81$1,0230%20%10th90th$214Professionalmedian $708 · 10th–90th $100$1,2020%20%40%10th90th$708$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
$81.28
Median
$501.19
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$1,000.00
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.02
Median
$125.89
Typical High
$1,659.59
Cigna
Setting
Facility
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$53,703.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$1,348.96
Emblem Health
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$144.54
Typical High
$346.74
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,258.93
Median
$1,513.56
Typical High
$2,187.76
Excellus BCBS
Setting
Professional
Modifier
Global
Typical Low
$489.78
Median
$812.83
Typical High
$977.24
MVP Health Care
Setting
Facility
Modifier
Global
Typical Low
$50,118.72
Median
$53,703.18
Typical High
$75,857.76
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,288.25
Typical High
$1,445.44
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,365.16
Typical High
$5,888.44
United
Setting
Professional
Modifier
Global
Typical Low
$95.50
Median
$891.25
Typical High
$1,819.70
Univera
Setting
Facility
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$97.72
Univera
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$741.31
Typical High
$851.14