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PRP or Other Blood-Derived Product, Diabetic Wounds

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)

Rates data updated July 2026.

How much does PRP or Other Blood-Derived Product, Diabetic Wounds cost?

$537

Typical physician fee. In South Dakota, July 2026.

Insurers have agreed to pay about $537 for this service. Most negotiated rates run $174 to $1,122.

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.

How much rates vary

Facilitymedian $708 · 10th to 90th $126 to $1,318Professionalmedian $537 · 10th to 90th $123 to $1,778
$100$200$500$1K$2K$5Kfacility $708professional $537

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$794.33
Median
$794.33
Typical High
$794.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$416.87
Median
$478.63
Typical High
$588.84
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
$1,071.52
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
$165.96
Median
$204.17
Typical High
$2,630.27

Where South Dakota 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 Dakota· 45th of 51

$537

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.