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North Dakota 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
$42.74 / $42.74 / $66.56
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.89 / $53.68 / $68.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $107.14 / $162.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.13 / $57.14 / $90.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.74 / $66.69 / $111.62
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.31 / $123.52 / $411.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.12 / $117.81 / $165.73