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New York 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
$25.78 / $39.97 / $64.43
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.54 / $51.58 / $74.62
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.59 / $58.32 / $115.04
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$58.77 / $58.77 / $58.77
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$58.77 / $58.77 / $92.19
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
Facility
Modifier
Low / Median / High Price
$53.00 / $61.20 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.17 / $87.35 / $130.44
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.89 / $60.11 / $71.53
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $70.33 / $131.09
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.91 / $52.91 / $52.91
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.14 / $68.53 / $147.60
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.04 / $71.80 / $151.13
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.18 / $43.18 / $71.53
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$53.12 / $70.12 / $127.10