go back

California 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
$38.89 / $61.98 / $407.12
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $53.80 / $103.75
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.79 / $58.79 / $58.79
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$50.01 / $58.03 / $65.48
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.01 / $74.45 / $131.66
Blue Shield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.38 / $122.44 / $205.06
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.92 / $69.88 / $144.85
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.02 / $68.83 / $104.56
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.86 / $65.37 / $117.59
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $193.75 / $193.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.90 / $411.10 / $526.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.42 / $64.11 / $101.75
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $158.76
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$138.26 / $138.26 / $217.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $67.48 / $159.00