go back

Idaho 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 / $7.41 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $16.60 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.00 / $17.78
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $14.45 / $18.20
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $77.62
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.72 / $12.59 / $17.38
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.71 / $12.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.59 / $16.98