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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

Facilitymedian $52 · 10th–90th $19–$1290%5%10th90th$52Professionalmedian $48 · 10th–90th $16–$830%5%10%10th90th$48$20.0$100.0$500.0$2.0K$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
$28.18 / $104.71 / $9,120.11
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $48.98 / $83.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $162.18 / $346.74
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $63.10 / $89.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $537.03 / $616.60
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $60.26 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $50.12 / $114.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $194.98
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$977.24 / $977.24 / $1,348.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $44.67 / $91.20