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Nebraska 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
$37.92 / $37.92 / $60.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.92 / $49.61 / $71.75
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.07 / $73.53 / $124.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.78 / $93.17 / $153.19
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.28 / $72.05 / $139.31
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$75.72 / $123.05 / $411.10
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.78 / $93.17 / $155.65
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.09 / $94.95 / $153.19
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.40 / $133.50 / $171.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.01 / $110.43 / $155.91