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Physician Documentation of DME Face-to-Face Visit

Florida 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

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$8.32

Typical negotiated rate. In Florida, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $7.59 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.32$7.08 to $9.33
FacilityA hospital or hospital-owned outpatient department$7.59$6.17 to $9.33

How much rates vary

Facilitymedian $8 · 10th to 90th $6 to $10Professionalmedian $8 · 10th to 90th $6 to $11
$10$20facility $8professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.17
Median
$7.59
Typical High
$9.33
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$7.94
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.71
Typical High
$13.18
AvMed
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$6.17
Typical High
$6.76
AvMed
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$9.55
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.72
Median
$10.72
Typical High
$27.54
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Florida Blue
Setting
Professional
Modifier
Global
Typical Low
$4.47
Median
$8.51
Typical High
$11.22
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$33.11
Typical High
$33.11
United
Setting
Facility
Modifier
Global
Typical Low
$6.61
Median
$8.71
Typical High
$16.98
United
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$9.55
Typical High
$16.98
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.24
Median
$7.24
Typical High
$9.33

Where Florida sits

The same service costs 2.0 times more in Minnesota than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Florida· 48th of 51

$8.32

MN $15.85LA $7.94

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.