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Initial Evaluation of Diabetic Neuropathy (LOPS)

Montana rates for HCPCS G0245

Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot, and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (4) patient education

Rates data updated July 2026.

How much does Initial Evaluation of Diabetic Neuropathy (LOPS) cost?

$61.66

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $61.66 for this service. The price depends on where it is billed: about $58.88 from a physician practice, and about $70.79 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$58.88$42.66 to $74.13
FacilityA hospital or hospital-owned outpatient department$70.79$58.88 to $110

How much rates vary

Facilitymedian $71 · 10th to 90th $43 to $117Professionalmedian $59 · 10th to 90th $37 to $110
$50$100$200facility $71professional $59

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$36.31
Median
$54.95
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$61.66
Median
$61.66
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$102.33
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$117.49
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$67.61
Median
$100.00
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$66.07
Typical High
$117.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$97.72
Typical High
$173.78
United
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$114.82

Where Montana sits

The same service costs 2.1 times more in Minnesota than in Florida. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Montana· 11th of 51

$61.66

MN $95.50FL $45.71

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.