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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

Facilitymedian $9 · 10th–90th $7–$200%10%20%10th90th$9Professionalmedian $8 · 10th–90th $6–$140%20%10th90th$8$5.0$10.0$20.0$50.0$100.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $7.08
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.96
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $9.77 / $47.86
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.31 / $8.32 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.91 / $16.22
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.72 / $54.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.17 / $7.08 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $9.77 / $16.98