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Alaska rates for HCPCS G0247

Routine foot care by a physician of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include the local care of superficial wounds (i.e., superficial to muscle and fascia) and at least the following, if present: (1) local care of superficial wounds, (2) debridement of corns and calluses, and (3) trimming and debridement of nails

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13,413.92 / $13,413.92 / $14,552.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.43 / $67.03 / $456.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $138.76 / $638.83
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.75 / $147.41 / $327.36
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.40 / $86.40 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.28 / $130.00 / $361.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.84 / $138.76 / $638.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.86 / $117.23 / $337.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.90 / $194.70 / $321.02