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Texas 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 $59 · 10th–90th $19$2630%10%10th90th$59Professionalmedian $56 · 10th–90th $17$830%20%10th90th$56$1.0$5.0$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
$234.42 / $3,235.94 / $12,882.50
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $53.70 / $85.11
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $269.15 / $891.25
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $58.88 / $70.79
Baylor Scott & White
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $93.33 / $131.83
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $79.43
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $61.66 / $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
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $123.03
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $56.23 / $128.82
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $144.54 / $173.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $120.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $74.13 / $134.90
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $36.31 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $43.65 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $81.28 / $97.72