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Pennsylvania 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 $4,786 · 10th–90th $39–$7,7620%20%10th90th$4,786Professionalmedian $56 · 10th–90th $17–$1200%10%10th90th$56$1.0$10.0$100.0$1.0K$10.0K

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
$74.13 / $4,786.30 / $7,762.47
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $53.70 / $95.50
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $77,624.71
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $100.00 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $125.89 / $165.96
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $79.43 / $131.83
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $588.84 / $7,244.36
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $56.23 / $120.23
Oscar Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $131.83 / $173.78
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.38 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $87.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$269.15 / $302.00 / $524.81
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $45.71 / $114.82