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Physician Documentation of DME Face-to-Face Visit

Iowa 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?

$10.23

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $10.23 for this service. The price depends on where it is billed: about $10.23 from a physician practice, and about $10.47 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$10.23$8.32 to $16.60
FacilityA hospital or hospital-owned outpatient department$10.47$8.71 to $15.14

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $18Professionalmedian $10 · 10th to 90th $7 to $21
$10$20$50facility $10professional $10

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
$10.47
Median
$10.47
Typical High
$10.47
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$8.71
Typical High
$11.22
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.55
Typical High
$18.62
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$6.92
Median
$18.62
Typical High
$23.99
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.32
Median
$10.47
Typical High
$17.78
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.79
Typical High
$54.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$21.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$16.60
Typical High
$23.44
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$14.13
Typical High
$19.50
United
Setting
Facility
Modifier
Global
Typical Low
$9.33
Median
$14.45
Typical High
$14.79
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$14.13
Typical High
$23.99
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$18.20
Typical High
$21.38

Where Iowa 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.

Iowa· 12th of 51

$10.23

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.