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Idaho 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 $55 · 10th–90th $21–$1660%5%10th90th$55Professionalmedian $52 · 10th–90th $17–$1350%5%10%10th90th$52$20.0$100.0$500.0$2.0K

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
$18.62 / $75.86 / $5,495.41
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $48.98 / $107.15
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $229.09 / $630.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$36.31 / $102.33 / $158.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $51.29 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $56.23 / $162.18
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $77.62 / $165.96
Regence BlueShield
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$229.09 / $407.38 / $630.96
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $64.57 / $128.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $75.86 / $109.65
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $56.23 / $125.89