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South Dakota 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 $537 · 10th–90th $417$1,1480%20%40%10th90th$537Professionalmedian $537 · 10th–90th $132$1,7780%5%10%10th90th$537$100.0$200.0$500.0$1.0K$2.0K$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$537.03
Median
$537.03
Typical High
$537.03
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$537.03
Typical High
$794.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$123.03
Typical High
$1,318.26
Medica
Setting
Facility
Modifier
Global
Typical Low
$125.89
Median
$707.95
Typical High
$1,318.26
Medica
Setting
Professional
Modifier
Global
Typical Low
$467.74
Median
$1,071.52
Typical High
$5,011.87
Midlands
Setting
Professional
Modifier
Global
Typical Low
$131.83
Median
$131.83
Typical High
$1,348.96
Sanford Health Plan
Setting
Professional
Modifier
Global
Typical Low
$147.91
Median
$1,318.26
Typical High
$1,778.28
United
Setting
Professional
Modifier
Global
Typical Low
$194.98
Median
$1,202.26
Typical High
$2,290.87
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$181.97
Median
$218.78
Typical High
$2,238.72