| 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 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 | 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 |