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PRP or Other Blood-Derived Product, Diabetic Wounds

South Carolina 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?

$741

Typical negotiated rate. In South Carolina, July 2026.

Insurers have agreed to pay about $741 for this service. The price depends on where it is billed: about $741 from a physician practice, and about $692 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$741$631 to $741
FacilityA hospital or hospital-owned outpatient department$692$631 to $1,148

How much rates vary

Facilitymedian $692 · 10th to 90th $117 to $1,738Professionalmedian $741 · 10th to 90th $115 to $891
$50$200$1K$5Kfacility $692professional $741

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
$117.49
Median
$630.96
Typical High
$1,698.24
Aetna
Setting
Professional
Modifier
Global
Typical Low
$630.96
Median
$630.96
Typical High
$891.25
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,089.30
Typical High
$4,897.79
BCBS
Setting
Professional
Modifier
Global
Typical Low
$81.28
Median
$977.24
Typical High
$1,230.27
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Medcost
Setting
Facility
Modifier
Global
Typical Low
$97.72
Median
$741.31
Typical High
$1,071.52
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
United
Setting
Facility
Modifier
Global
Typical Low
$8,709.64
Median
$8,709.64
Typical High
$13,803.84
United
Setting
Professional
Modifier
Global
Typical Low
$309.03
Median
$741.31
Typical High
$1,122.02

Where South Carolina 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.

South Carolina· 24th of 51

$741

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.