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Mississippi 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
$31.58 / $100.00 / $107.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.22 / $44.69 / $68.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$188.93 / $188.93 / $188.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.00 / $73.00 / $73.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $57.14
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.55 / $62.25 / $85.23