go back

Michigan 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 $4,898 · 10th–90th $23$4,8980%50%10th$4,898Professionalmedian $46 · 10th–90th $17$850%10%10th90th$46$5.0$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
$22.91 / $4,897.79 / $4,897.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $31.62 / $33.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $74.13 / $100.00
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$63.10 / $85.11 / $4,897.79
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $63.10 / $95.50
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.88 / $58.88 / $562.34
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $44.67 / $109.65