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HCPCS G0465Medical Service

Autologous Platelet Rich Plasma Prp or Other Blood-derived Product for Diabetic Chronic Wounds Ulcers

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. Clinical pricing breakdown and utilization metrics across 1 practicing doctors nationwide.

$2143.00
Peer Median Charge
Gross billed rate
$137.00
Standard Baseline
Customary allowable
15.6x
National Markup
Charge vs baseline
1
Active Physicians
Billing this code
Planning care or already received a bill for CPT G0465?Calculate total facility bundle costs or generate an assertive dispute settlement offer.

Understanding This Medical Fee

Gross Charge vs Negotiated Payment: The median physician charge for this service is $2143.00. However, insured patients almost never pay this full amount directly. Insurers negotiate rates down toward the $137.00 baseline.

Self-Pay & Uninsured Guidance: If you are paying without insurance or out-of-network, request a prompt-pay cash discount. Most medical practices are willing to settle self-pay bills near the customary baseline rate rather than the full gross charge.

Key Questions for Your Doctor's Billing Office:
  • "Does Dr. [Name] participate in my specific insurance plan network?"
  • "What is the total self-pay or cash rate for code G0465 if paid upfront?"
  • "Are there separate facility, anesthesia, or pathology fees associated with this procedure?"