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Iowa 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

Facilitymedian $72 · 10th–90th $22–$5,3700%5%10%10th90th$72Professionalmedian $60 · 10th–90th $17–$1350%10%10th90th$60$10.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4,265.80 / $5,888.44 / $7,943.28
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $56.23 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $74.13 / $138.04
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $89.13 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $56.23 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $114.82 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $104.71 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $97.72 / $218.78
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $151.36 / $223.87
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $38.02 / $416.87
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $57.54 / $151.36
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $138.04