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Arizona 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
$32.21 / $252.00 / $252.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $52.55 / $72.76
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $63.51 / $63.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.45 / $44.45 / $214.29
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.78 / $40.34 / $58.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $57.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.43 / $58.15 / $104.50
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.37 / $74.23 / $411.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.84 / $65.22 / $120.86