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Louisiana 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
$29.60 / $30.03 / $44.69
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.60 / $44.05 / $68.17
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$82.59 / $96.09 / $138.59
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.89 / $54.40 / $59.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$34.54 / $34.54 / $34.54
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$49.16 / $66.94 / $102.77