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Hawaii 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
$2,818.38 / $2,818.38 / $2,818.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $52.48 / $95.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $74.13 / $112.20
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $89.13 / $114.82
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $54.95 / $109.65