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Texas 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 $2,188 · 10th–90th $447$5,0120%5%10th90th$2,188Professionalmedian $661 · 10th–90th $85$1,0000%10%10th90th$661$50.0$200.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$446.68
Median
$537.03
Typical High
$645.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$85.11
Median
$588.84
Typical High
$851.14
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$1,023.29
Median
$1,023.29
Typical High
$1,023.29
BCBS
Setting
Facility
Modifier
Global
Typical Low
$1,737.80
Median
$2,754.23
Typical High
$5,370.32
BCBS
Setting
Professional
Modifier
Global
Typical Low
$64.57
Median
$660.69
Typical High
$776.25
Christus
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$1,819.70
Typical High
$1,819.70
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$5,623.41
Median
$7,762.47
Typical High
$7,762.47
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$645.65
Typical High
$1,348.96
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$645.65
Typical High
$1,819.70
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$85.11
Median
$660.69
Typical High
$1,318.26
Providence
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
United
Setting
Facility
Modifier
Global
Typical Low
$3,162.28
Median
$3,235.94
Typical High
$4,265.80
United
Setting
Professional
Modifier
Global
Typical Low
$616.60
Median
$831.76
Typical High
$1,230.27
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,000.00
Typical High
$1,047.13