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North Carolina 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
$40.54 / $40.54 / $63.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.63 / $49.61 / $72.41
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.24 / $60.24 / $60.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.95 / $85.96 / $143.09
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $68.04
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.54 / $62.00 / $99.26
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.53 / $64.95 / $159.03
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.80 / $127.00 / $168.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.76 / $71.09 / $124.44
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $193.75 / $193.75
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.90 / $411.10 / $526.28