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Virginia 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 $34 · 10th–90th $20–$1070%10%20%10th90th$34Professionalmedian $54 · 10th–90th $19–$1200%10%10th90th$54$2.0$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
$19.95 / $69.18 / $8,317.64
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $85.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $56.23 / $141.25
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $51.29
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $74.13
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $93.33 / $141.25
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $58.88 / $63.10
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $50.12 / $117.49
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $18.62 / $33.11
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $26.92 / $40.74
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$43.65 / $81.28 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $48.98 / $1,230.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $42.66 / $117.49