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Maryland 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
Professional
Modifier
Low / Median / High Price
$33.35 / $47.25 / $73.11
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.26 / $75.77 / $109.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.12 / $65.28 / $108.08
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.16 / $84.96 / $94.40