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Minnesota 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
$39.28 / $39.28 / $64.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.17 / $51.68 / $72.76
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$71.42 / $269.50 / $359.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.77 / $131.51 / $220.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$148.47 / $212.47 / $465.26
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.56 / $58.00 / $91.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.66 / $190.70 / $438.93
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $58.65 / $72.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.74 / $79.84 / $133.32
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.06 / $141.60 / $254.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.51 / $130.12 / $211.56