go back

Idaho 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
$36.40 / $36.40 / $58.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.40 / $54.45 / $73.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $57.14
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.01 / $56.97 / $74.09
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$62.45 / $75.70 / $124.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $55.00 / $113.94
Regence BlueShield
Facility/Professional
Facility
Modifier
Low / Median / High Price
$150.38 / $268.02 / $416.39
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.86 / $74.30 / $96.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.48 / $91.63 / $119.46