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Alaska rates for HCPCS G0454

Physician documentation of face-to-face visit for durable medical equipment determination performed by nurse practitioner, physician assistant or clinical nurse specialist

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $11.75 / $18.20
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $24.55 / $42.66
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.98 / $33.88 / $45.71
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $11.48 / $18.20
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $13.80 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $25.70 / $54.95