go back

South Dakota 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
$21.73 / $87.25 / $87.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.39 / $67.03 / $87.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.63 / $74.09 / $118.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.45 / $56.79 / $187.47
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.91 / $153.13 / $537.69
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.68 / $95.06 / $192.74
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.47 / $84.88 / $144.22
Sanford Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.19 / $93.84 / $158.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.02 / $146.25 / $226.10
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $36.29 / $141.30