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Tennessee rates for HCPCS G0245

Initial physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) which must include: (1) the diagnosis of LOPS, (2) a patient history, (3) a physical examination that consists of at least the following elements: (a) visual inspection of the forefoot, hindfoot, and toe web spaces, (b) evaluation of a protective sensation, (c) evaluation of foot structure and biomechanics, (d) evaluation of vascular status and skin integrity, and (e) evaluation and recommendation of footwear, and (4) patient education

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$70.79 / $70.79 / $109.65
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.11 / $47.86 / $72.44
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $67.61 / $109.65
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$61.66 / $61.66 / $61.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$57.54 / $57.54 / $57.54
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$257.04 / $257.04 / $257.04
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$407.38 / $524.81 / $524.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.90 / $61.66 / $97.72