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Oregon 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 $129 · 10th–90th $79$1,5490%20%40%10th90th$129Professionalmedian $724 · 10th–90th $151$1,9950%10%10th90th$724$50.0$200.0$1.0K$5.0K$20.0K$100.0K$500.0K

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
$79.43
Median
$977.24
Typical High
$1,380.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$707.95
Typical High
$977.24
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$158.49
Median
$213.80
Typical High
$2,570.40
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$114.82
Median
$1,071.52
Typical High
$1,949.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$707.95
Typical High
$2,398.83
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$134.90
Providence
Setting
Facility
Modifier
Global
Typical Low
$131.83
Median
$1,071.52
Typical High
$2,344.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$173.78
Median
$977.24
Typical High
$2,290.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$4,677.35
Median
$6,309.57
Typical High
$7,762.47
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$223.87
Median
$1,202.26
Typical High
$1,778.28
United
Setting
Facility
Modifier
Global
Typical Low
$6,309.57
Median
$7,762.47
Typical High
$10,232.93
United
Setting
Professional
Modifier
Global
Typical Low
$407.38
Median
$1,318.26
Typical High
$1,995.26