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 New Jersey
Estimated using RAND 2024 commercial-to-Medicare ratios. Actual prices vary by insurer, plan, and facility.
Top Providers in New Jersey
| Provider | Medicare | Services |
|---|---|---|
| Cohen, Marc DPM | $32.97 | 27 |
New Jersey Pricing in Context
In New Jersey, 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 $31.75 — 29% above the national benchmark of $24.66. 9 providers across the state submitted claims for this procedure in 2023, performing 68 total services. Individual payments in NJ 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 New Jersey is $64.75, 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 New Jersey 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 New Jersey lands near $107.79, with self-pay cash prices typically around $49.51. 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 New Jersey?
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 New Jersey is $31.75, which is 29% above the national average of $24.66. Providers in NJ typically bill $64.75 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 New Jersey?
With commercial insurance in New Jersey, 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 $107.79. Without insurance, the estimated cash price is $49.51. 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 New Jersey?
9 providers in New Jersey 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 68 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 New Jersey 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 29% above the national average in New Jersey. The state average Medicare payment is $31.75 compared to $24.66 nationally. Factors like local cost of living, provider competition, and regional Medicare fee schedules all influence state-level pricing.
Related Guides
Related Data Sources
Data from CMS Medicare Physician & Other Practitioners (2023).
Read our methodology — how this data is sourced, computed, and verified.