go back

Michigan 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
$39.78 / $40.17 / $63.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $53.68 / $67.31
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $63.51 / $96.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.26 / $58.26 / $437.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.35 / $61.17 / $72.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.87 / $57.14 / $89.36
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.78 / $62.77 / $83.58
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.78 / $62.77 / $85.38
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.68 / $67.88 / $96.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.49 / $69.23 / $90.31