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Minnesota 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 $78 · 10th–90th $21–$3240%5%10th90th$78Professionalmedian $74 · 10th–90th $22–$2570%5%10%10th90th$74$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
$20.89 / $20.89 / $87.10
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $53.70 / $95.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $263.03 / $588.84
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $85.11 / $295.12
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$186.21 / $281.84 / $776.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $74.13 / $120.23
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$199.53 / $302.00 / $602.56
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $52.48 / $95.50
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $60.26 / $169.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64.57 / $144.54 / $537.03
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $70.79 / $213.80