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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.27 / $20.76 / $74.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.37 / $41.36 / $76.59
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.04 / $29.04 / $29.04
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.09 / $74.09 / $99.77
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.13 / $60.46 / $112.19