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Maine 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
$40.06 / $40.06 / $62.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $58.40 / $69.41
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.21 / $66.44 / $97.54
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.23 / $79.14 / $140.47
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.06 / $58.40 / $69.17
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.82 / $91.54 / $139.83