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New Jersey 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
$43.11 / $43.11 / $62.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.33 / $45.86 / $71.27
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $63.51 / $63.51
AmeriHealth
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.48 / $71.48 / $71.69
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 / $57.14
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.68 / $91.08 / $123.87
Horizon BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$283.51 / $313.30 / $313.30
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.62 / $61.91 / $72.83
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.17 / $66.73 / $121.05