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North Dakota 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–$2400%20%10th90th$78Professionalmedian $59 · 10th–90th $18–$1660%10%10th90th$59$10.0$50.0$200.0$1.0K$5.0K

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 / $79.43 / $8,511.38
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $57.54 / $128.82
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$40.74 / $60.26 / $204.17
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $117.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$22.39 / $67.61 / $147.91
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $138.04 / $537.03
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$398.11 / $398.11 / $398.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $54.95 / $169.82