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New Hampshire 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
$20.77 / $82.64 / $2,331.21
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.97 / $41.36 / $72.16
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.70 / $57.40 / $138.94
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$62.00 / $62.00 / $62.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.87 / $84.32 / $244.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.36 / $138.29 / $272.73
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.18 / $40.21 / $60.73