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Washington 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 $1,122 · 10th–90th $126$7,2440%5%10%10th90th$1,122Professionalmedian $741 · 10th–90th $219$1,6220%10%10th90th$741$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
$85.11
Median
$707.95
Typical High
$1,122.02
Aetna
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$691.83
Typical High
$1,071.52
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$3,981.07
Median
$5,011.87
Typical High
$10,000.00
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$724.44
Median
$1,023.29
Typical High
$1,584.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$977.24
Median
$977.24
Typical High
$977.24
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$134.90
Median
$1,230.27
Typical High
$6,606.93
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$1,230.27
Typical High
$2,089.30
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$50.12
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$77.62
Median
$128.82
Typical High
$134.90
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$707.95
Median
$1,047.13
Typical High
$1,047.13
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$263.03
Median
$1,071.52
Typical High
$2,290.87
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$3,801.89
Median
$5,128.61
Typical High
$10,000.00
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$691.83
Median
$1,023.29
Typical High
$1,659.59
United
Setting
Facility
Modifier
Global
Typical Low
$5,888.44
Median
$7,585.78
Typical High
$14,125.38
United
Setting
Professional
Modifier
Global
Typical Low
$338.84
Median
$1,071.52
Typical High
$1,548.82
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$1,288.25
Median
$1,513.56
Typical High
$2,454.71