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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

Facilitymedian $10 · 10th–90th $8–$180%10%20%10th90th$10Professionalmedian $9 · 10th–90th $7–$200%20%10th90th$9$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
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $9.55 / $18.62
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.92 / $18.62 / $23.99
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $10.47 / $17.78
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.79 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $18.62 / $23.44
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $14.45 / $19.95
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $9.33 / $14.45
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $14.45 / $23.44
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.22 / $17.38 / $21.38