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Massachusetts 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
$38.47 / $38.47 / $61.37
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.10 / $51.68 / $73.64
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.59 / $193.75 / $193.75
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.23 / $102.47 / $411.10
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 / $80.38
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.33 / $39.33 / $50.13
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.05 / $92.91 / $139.12
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$65.31 / $108.94 / $174.59
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $193.75 / $193.75
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.23 / $121.82 / $411.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $95.91 / $173.56