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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)

Facilitymedian $933 · 10th–90th $339$3,4670%20%10th90th$933Professionalmedian $661 · 10th–90th $135$1,0230%10%10th90th$661$10.0$50.0$200.0$1.0K$5.0K

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
$338.84
Median
$478.63
Typical High
$933.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$676.08
Typical High
$933.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$107.15
Median
$575.44
Typical High
$1,148.15
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
$812.83
Median
$812.83
Typical High
$812.83
SummaCare
Setting
Facility
Modifier
Global
Typical Low
$1,258.93
Median
$1,258.93
Typical High
$1,258.93
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$218.78
Typical High
$1,548.82
United
Setting
Facility
Modifier
Global
Typical Low
$288.40
Median
$4,897.79
Typical High
$7,244.36
United
Setting
Professional
Modifier
Global
Typical Low
$501.19
Median
$794.33
Typical High
$1,318.26