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PRP or Other Blood-Derived Product, Diabetic Wounds

Virginia 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?

$871

Typical negotiated rate. In Virginia, July 2026.

Insurers have agreed to pay about $871 for this service. The price depends on where it is billed: about $871 from a physician practice, and about $871 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 7 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$871$676 to $891
FacilityA hospital or hospital-owned outpatient department$871$708 to $933

How much rates vary

Facilitymedian $871 · 10th to 90th $347 to $1,445Professionalmedian $871 · 10th to 90th $339 to $1,096
$100$200$500$1K$2Kfacility $871professional $871

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
$870.96
Median
$870.96
Typical High
$891.25
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$831.76
Typical High
$891.25
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$223.87
Typical High
$1,071.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$1,000.00
Median
$1,318.26
Typical High
$1,548.82
Medcost
Setting
Facility
Modifier
Global
Typical Low
$104.71
Median
$870.96
Typical High
$1,513.56
Medcost
Setting
Professional
Modifier
Global
Typical Low
$776.25
Median
$776.25
Typical High
$776.25
Sentara
Setting
Facility
Modifier
Global
Typical Low
$346.74
Median
$794.33
Typical High
$1,479.11
Sentara
Setting
Professional
Modifier
Global
Typical Low
$562.34
Median
$794.33
Typical High
$1,479.11
United
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$9,549.93
United
Setting
Professional
Modifier
Global
Typical Low
$660.69
Median
$977.24
Typical High
$1,621.81

Where Virginia 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.

Virginia· 13th of 51

$871

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.