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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(Rvsd 1/1/04)

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