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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.56 / $30.56 / $70.54
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.47 / $60.53 / $145.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.23 / $89.98 / $110.30
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.68 / $49.46 / $103.48
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $83.25 / $139.79