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New Hampshire 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
$37.99 / $44.32 / $63.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.09 / $44.32 / $66.27
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.85 / $63.63 / $106.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $57.14 / $57.14
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.46 / $90.20 / $188.31
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.09 / $99.88 / $172.60
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.85 / $76.06 / $115.21