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Maryland 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
Professional
Modifier
Low / Median / High Price
$17.96 / $53.63 / $96.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $62.00 / $655.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.53 / $101.31 / $144.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.83 / $81.91 / $170.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$93.81 / $110.35 / $122.61