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Rhode Island 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 $4,266 · 10th–90th $3,467$5,6230%20%10th90th$4,266Professionalmedian $813 · 10th–90th $89$1,2020%20%10th90th$813$0.0$0.2$2.0$20.0$200.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$812.83
Median
$1,000.00
Typical High
$1,000.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$3,235.94
Median
$3,981.07
Typical High
$5,623.41
BCBS
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$89.13
Typical High
$933.25
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$4,265.80
Median
$4,265.80
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$1,000.00
Typical High
$1,412.54