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Virginia 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
$41.27 / $47.99 / $73.79
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.53 / $47.99 / $73.79
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.40 / $61.56 / $96.60
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.13 / $73.67 / $115.56
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.42 / $61.96 / $102.03
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.93 / $93.29 / $116.00
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.36 / $52.46 / $80.68
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.34 / $76.81 / $124.55
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.27 / $70.36 / $114.66