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PRP or Other Blood-Derived Product, Diabetic Wounds

Ohio 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?

$562

Typical negotiated rate. In Ohio, July 2026.

Insurers have agreed to pay about $562 for this service. The price depends on where it is billed: about $575 from a physician practice, and about $479 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 6 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$575$339 to $813
FacilityA hospital or hospital-owned outpatient department$479$339 to $933

How much rates vary

Facilitymedian $479 · 10th to 90th $339 to $933Professionalmedian $575 · 10th to 90th $135 to $1,072
$100$200$500$1K$2K$5Kfacility $479professional $575

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
$338.84
Median
$478.63
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$489.78
Typical High
$851.14
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$575.44
Typical High
$1,148.15
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
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$38.02
Median
$38.02
Typical High
$38.02
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$218.78
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$1,071.52
Median
$4,677.35
Typical High
$7,079.46
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,318.26

Where Ohio 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.

Ohio· 43rd of 51

$562

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.