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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.05 / $75.86 / $17,782.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $53.70 / $87.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $74.13 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.12 / $269.15 / $371.54
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.51 / $74.13 / $223.87
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $52.48 / $117.49
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $75.86 / $213.80
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.95 / $53.70 / $128.82
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $123.03 / $537.03
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $33.11 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.90 / $89.13 / $223.87
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$158.49 / $158.49 / $263.03
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $104.71 / $537.03
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.48 / $109.65 / $295.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$537.03 / $537.03 / $537.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $60.26 / $162.18