| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $81.28 | |
Aetna
| Professional | $16.98 | $52.48 | $85.11 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 | |
United
| Professional | $28.18 | $64.57 | $165.96 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $19.05 | $19.05 | $81.28 | |
Aetna
| Professional | $16.98 | $52.48 | $85.11 | |
Cigna
| Professional | $74.13 | $74.13 | $74.13 | |
United
| Professional | $28.18 | $64.57 | $165.96 |