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Indiana 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
$38.18 / $41.82 / $61.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $53.13 / $63.66
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.24 / $60.24 / $60.24
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.65 / $62.57 / $83.94
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 / $89.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.94 / $67.00 / $92.23