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Missouri 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
$45.40 / $45.40 / $63.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.51 / $52.55 / $71.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.11 / $55.61 / $76.59
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $57.14
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $64.26 / $120.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.47 / $82.94 / $411.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.85 / $69.36 / $101.24