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PRP or Other Blood-Derived Product, Diabetic Wounds

Pennsylvania 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?

$813

Typical negotiated rate. In Pennsylvania, July 2026.

Insurers have agreed to pay about $813 for this service. The price depends on where it is billed: about $759 from a physician practice, and about $891 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 7 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$759$676 to $891
FacilityA hospital or hospital-owned outpatient department$891$891 to $2,818

How much rates vary

Facilitymedian $891 · 10th to 90th $891 to $6,026Professionalmedian $759 · 10th to 90th $537 to $977
$500$1K$2K$5Kfacility $891professional $759

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
$891.25
Median
$891.25
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$741.31
Typical High
$891.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Emblem Health
Setting
Professional
Modifier
Global
Typical Low
$1,819.70
Median
$1,819.70
Typical High
$1,819.70
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$933.25
Median
$1,148.15
Typical High
$1,479.11
Highmark BCBS
Setting
Facility
Modifier
Global
Typical Low
$2,511.89
Median
$2,511.89
Typical High
$2,511.89
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$891.25
Median
$891.25
Typical High
$891.25
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$707.95
Typical High
$912.01
United
Setting
Facility
Modifier
Global
Typical Low
$2,818.38
Median
$5,011.87
Typical High
$6,918.31
United
Setting
Professional
Modifier
Global
Typical Low
$537.03
Median
$831.76
Typical High
$1,548.82

Where Pennsylvania 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.

Pennsylvania· 16th of 51

$813

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.