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California 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
$7.41 / $7.45 / $53.19
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.18 / $8.44 / $35.38
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.02 / $11.63 / $13.12
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $11.77 / $23.99
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $9.78 / $23.96
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
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.69 / $10.66 / $13.08
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.09 / $10.76 / $17.98
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $75.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $55.28 / $70.34
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $10.40 / $14.83
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $22.31
Sutter Health Plus
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.79 / $29.79 / $29.79
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.28 / $9.66 / $22.46