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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

Facilitymedian $39 · 10th–90th $13–$740%20%10th90th$39Professionalmedian $45 · 10th–90th $17–$850%10%10th90th$45$10.0$20.0$50.0$100.0$200.0

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
$13.49 / $19.95 / $74.13
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $41.69 / $85.11
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.90 / $38.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$74.13 / $74.13 / $389.05
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $41.69 / $87.10