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Alaska rates for HCPCS G0246

Follow-up physician evaluation and management of a diabetic patient with diabetic sensory neuropathy resulting in a loss of protective sensation (LOPS) to include at least the following: (1) a patient history, (2) a physical examination that includes: (a) visual inspection of the forefoot, hindfoot, and toe web spaces, (b) evaluation of 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 (3) patient education

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.32 / $36.51 / $65.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.52 / $34.52 / $34.52
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $52.85 / $91.88
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $93.80 / $147.07
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$79.65 / $79.65 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.62 / $99.00 / $189.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.41 / $50.97 / $91.88
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.20 / $79.65 / $163.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.04 / $108.00 / $129.66