| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.64 | $38.28 | $63.82 | |
Aetna
| Professional | $37.64 | $54.45 | $66.17 | |
Cigna
| Professional | $43.13 | $57.14 | $64.23 | |
United
| Professional | $70.09 | $112.20 | $184.92 |
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 | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Facility | $37.64 | $38.28 | $63.82 | |
Aetna
| Professional | $37.64 | $54.45 | $66.17 | |
Cigna
| Professional | $43.13 | $57.14 | $64.23 | |
United
| Professional | $70.09 | $112.20 | $184.92 |