go back

Wisconsin 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 $59 · 10th–90th $20–$1580%10%10th90th$59Professionalmedian $58 · 10th–90th $18–$1580%10%10th90th$58$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
$19.05 / $75.86 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $74.13 / $204.17
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $269.15 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $74.13 / $223.87
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $53.70 / $123.03
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.90 / $75.86 / $223.87
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $57.54 / $128.82
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $125.89 / $537.03
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$46.77 / $100.00 / $190.55
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $89.13 / $208.93
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$50.12 / $158.49 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $169.82 / $537.03
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $102.33
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $109.65 / $295.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $47.86 / $47.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $64.57 / $181.97