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Tennessee 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
$71.34 / $71.34 / $110.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.01 / $51.68 / $73.79
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$96.00 / $96.00 / $96.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.53 / $61.98 / $98.45
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$193.75 / $193.75 / $193.75
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$254.90 / $411.10 / $526.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.66 / $67.48 / $111.70