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Indiana 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
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.71 / $13.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $8.51 / $12.88
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.13 / $8.71 / $19.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $9.33
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $10.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.77 / $15.49