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Arizona 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
Facility
Modifier
Low / Median / High Price
$7.14 / $7.14 / $7.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $8.30 / $9.80
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.04 / $7.04 / $33.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.01 / $7.28 / $8.46
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $9.14 / $16.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.06 / $10.14 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.99 / $9.61 / $17.64