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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.52 / $4,933.00 / $4,933.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $41.36 / $86.68
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.00 / $111.00 / $111.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.92 / $159.40 / $625.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.42 / $22.16 / $38.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.12 / $74.09 / $100.57
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.52 / $4,933.00 / $4,933.00
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.52 / $63.52 / $109.21
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.77 / $101.19 / $143.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.49 / $75.98 / $114.16