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Massachusetts 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 $17–$3,6310%10%10th90th$55Professionalmedian $56 · 10th–90th $19–$1580%5%10th90th$56$10.0$50.0$200.0$1.0K

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
$15.85 / $3,388.44 / $3,715.35
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $56.23 / $114.82
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $245.47 / $263.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $56.23 / $239.88
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $54.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $23.99 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$676.08 / $676.08 / $676.08
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $46.77
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $112.20 / $158.49
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $63.10 / $199.53
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $245.47 / $263.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $56.23 / $239.88
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $281.84 / $295.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $54.95 / $190.55