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New Mexico 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
Professional
Modifier
Low / Median / High Price
$33.15 / $49.42 / $75.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $63.51 / $63.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.08 / $44.75 / $84.92
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
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$37.32 / $59.96 / $83.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $87.73 / $164.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$60.76 / $91.01 / $131.61