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South Carolina 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(Rvsd 1/1/04)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9,062.00 / $9,062.00 / $9,062.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.59 / $53.37 / $76.11
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$131.29 / $162.18 / $387.80
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $74.88 / $90.11
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $375.00 / $570.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$17.51 / $39.65 / $97.40
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.36 / $39.00 / $55.39
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.31 / $111.78 / $172.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.54 / $73.08 / $157.10