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Arkansas rates for HCPCS G0245

Initial Physician Eval Of A Diabetic Pt Withdiabe Tic Sensory Neuropathy Resulting In A Loss Of Protective Sensation (Lops) Which Must Include: 1-Diagnosis Of Lops 2-A Patient History 3-Physical Exam That Consists Of At Least The Following Elements: A) Visual Inspection Of The Forefoot Hindfoot & Toe Web Spaces B) Eval Of A Protective Sensation C) Eval Of Foot Structure & Biomechanics D) Eval Of Vascular Status & Skin Integrity & E) Eval & Recommendation Of Footwear & 4-Pt Education

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$41.71 / $53.25 / $61.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.35 / $48.17 / $72.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114.72 / $114.72 / $114.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.22 / $58.07 / $76.84
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.71 / $86.71 / $86.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.42 / $57.14 / $57.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.95 / $70.06 / $89.90