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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
$28.18 / $28.18 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $56.23 / $102.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $74.13 / $100.00
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.28 / $102.33 / $141.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $53.70 / $123.03