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Illinois 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
$8.33 / $8.33 / $8.33
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.69 / $10.37
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.13 / $10.13 / $10.13
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.56 / $36.56 / $36.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.52 / $12.29 / $12.47
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 / $9.94
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.95 / $11.34 / $21.40
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.53 / $10.83 / $11.48
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.34 / $32.34 / $32.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $11.38 / $19.36