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South Carolina 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
$38.89 / $53.72 / $68.17
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.37 / $169.49 / $299.83
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$36.90 / $59.05 / $78.62
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.85 / $64.00 / $99.07
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.53 / $64.00 / $85.31
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$54.90 / $74.75 / $117.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.24 / $63.81 / $97.97