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PRP or Other Blood-Derived Product, Diabetic Wounds

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)

Rates data updated July 2026.

How much does PRP or Other Blood-Derived Product, Diabetic Wounds cost?

$741

Typical negotiated rate. In New York, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $501 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$741$501 to $912
FacilityA hospital or hospital-owned outpatient department$501$102 to $832

How much rates vary

Facilitymedian $501 · 10th to 90th $89 to $1,023Professionalmedian $741 · 10th to 90th $100 to $1,349
$0.1$1$10$100$1K$10Kfacility $501professional $741

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$102.33
Median
$602.56
Typical High
$1,023.29
Aetna
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$676.08
Typical High
$891.25
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
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
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
$776.25
Median
$1,258.93
Typical High
$1,584.89
United
Setting
Facility
Modifier
Global
Typical Low
$323.59
Median
$4,677.35
Typical High
$6,165.95
United
Setting
Professional
Modifier
Global
Typical Low
$93.33
Median
$912.01
Typical High
$1,862.09
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

Where New York sits

The same service costs 18.2 times more in Oklahoma than in Kentucky. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

New York· 22nd of 51

$741

OK $3,631KY $200

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.