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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

Facilitymedian $63 · 10th–90th $21–$2000%10%10th90th$63Professionalmedian $59 · 10th–90th $17–$1380%5%10th90th$59$20.0$50.0$100.0$200.0$500.0$1.0K$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $87.10 / $4,365.16
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $120.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $51.29 / $158.49
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $123.03 / $537.03
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $104.71 / $190.55
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $51.29 / $165.96
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $87.10 / $162.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $58.88 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $36.31 / $141.25