go back

Utah 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 $30 · 10th–90th $30–$710%20%40%90th$30Professionalmedian $52 · 10th–90th $17–$1260%5%10%10th90th$52$20.0$50.0$100.0$200.0$500.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $70.79
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
$74.13 / $74.13 / $74.13
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $48.98 / $114.82
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $85.11 / $100.00
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $95.50 / $138.04
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $42.66 / $114.82