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Vermont 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
$28.12 / $28.12 / $67.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.82 / $57.43 / $138.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $74.09
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $112.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.52 / $113.96 / $378.95