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Tennessee 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 $263 · 10th–90th $30$2,6920%50%10th90th$263Professionalmedian $54 · 10th–90th $17$870%5%10%10th90th$54$10.0$50.0$200.0$1.0K$5.0K

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
$29.51 / $2,691.53 / $2,691.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $56.23 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $75.86 / $602.56
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$537.03 / $691.83 / $691.83
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $21.88 / $45.71
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $45.71 / $114.82