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Nevada 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 $4,467 · 10th–90th $81–$4,4670%50%10th$4,467Professionalmedian $52 · 10th–90th $17–$980%10%20%10th90th$52$0.2$1.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$81.28 / $4,466.84 / $4,466.84
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $41.69 / $134.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$42.66 / $74.13 / $74.13
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $31.62 / $104.71
Hometown Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.20 / $28.18 / $120.23
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $81.28 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $46.77 / $117.49