Indiana · 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) in Indiana

Indiana Medicare Avg
$25.14
2% above national avg
National Medicare Avg
$24.66
All states combined
Billed Charge (IN)
$56.38
What providers submit
Est. Commercial (IN)
$72.86
National avg: $77.80
Est. Cash / Self-Pay (IN)
$41.53
Typical self-pay discount

Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.

29
Services in IN
3
Providers
N/A
Min Payment
N/A
Max Payment

Top Providers in Indiana

Provider Medicare Services
Warren, Walter DPM $25.79 20

Indiana Pricing in Context

In Indiana, CPT code 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)) carries an average Medicare payment of $25.14 — 2% above the national benchmark of $24.66. 3 providers across the state submitted claims for this procedure in 2023, performing 29 total services. Individual payments in IN ranged from N/A at the low end to N/A at the high end, reflecting differences in provider setting (office vs. facility), modifiers, and the specific geographic locality code applied within the state.

The average billed charge in Indiana is $56.38, which is the figure uninsured patients would most likely encounter before any negotiation or charity discount. Medicare, by statute, only reimburses the allowed amount — the balance between billed and paid is written off under provider participation agreements. Insured patients generally pay a negotiated rate that falls between these two figures; the exact amount depends on plan design, deductible status, and in-network participation. Because Indiana sits above the national Medicare average, commercial rates in the state may also run higher than the US median.

Using RAND 2024 commercial-to-Medicare ratios for Temporary Procedures procedures, the estimated commercial insurance price in Indiana lands near $72.86, with self-pay cash prices typically around $41.53. Before scheduling, patients can request a Good Faith Estimate under the No Surprises Act, compare cash rates from hospital Machine-Readable Files, and confirm whether the provider is in-network with their specific plan. This page presents CMS reference data for informational use; it does not constitute medical or financial advice.

Frequently Asked Questions

How much does 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) cost in Indiana?

The average Medicare payment for 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) in Indiana is $25.14, which is 2% above the national average of $24.66. Providers in IN typically bill $56.38 for this procedure.

What does 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) cost with insurance in Indiana?

With commercial insurance in Indiana, 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) costs an estimated $72.86. Without insurance, the estimated cash price is $41.53. These estimates are based on RAND 2024 commercial-to-Medicare ratios and vary by insurer, plan, and facility.

How many providers perform 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) in Indiana?

3 providers in Indiana billed Medicare for 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) in 2023, performing 29 total services. Medicare payments ranged from N/A to N/A depending on the provider.

Is 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) cheaper in Indiana than the national average?

No — 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) costs 2% above the national average in Indiana. The state average Medicare payment is $25.14 compared to $24.66 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.

Related

Data sourced from the CMS Medicare Physician and Other Practitioners dataset. See our methodology for details. Retrieved and formatted by PlainProcedure Editorial