go back

Follow-Up Evaluation of Diabetic Neuropathy (LOPS)

Washington 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

Rates data updated July 2026.

Facilitymedian $40 · 10th–90th $20$870%5%10%10th90th$40Professionalmedian $34 · 10th–90th $18$690%10%10th90th$34$20.0$50.0$100.0$200.0$500.0$1.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$16.22
Median
$16.22
Typical High
$32.36
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.22
Median
$27.54
Typical High
$44.67
Asuris Northwest Health
Setting
Facility
Modifier
Global
Typical Low
$436.52
Median
$436.52
Typical High
$436.52
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$85.11
Cigna
Setting
Facility
Modifier
Global
Typical Low
$36.31
Median
$36.31
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$35.48
Median
$35.48
Typical High
$35.48
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$19.95
Median
$37.15
Typical High
$87.10
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$33.88
Typical High
$70.79
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$43.65
Median
$72.44
Typical High
$75.86
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$51.29
Typical High
$51.29
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$53.70
Typical High
$93.33
Regence BlueShield
Setting
Facility
Modifier
Global
Typical Low
$363.08
Median
$363.08
Typical High
$436.52
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$27.54
Median
$50.12
Typical High
$83.18
United
Setting
Facility
Modifier
Global
Typical Low
$15.49
Median
$446.68
Typical High
$588.84
United
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$41.69
Typical High
$74.13
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$44.67
Typical High
$56.23