go back

Louisiana 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
$6.33 / $6.33 / $6.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.33 / $7.14 / $9.36
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.94 / $8.18 / $9.61
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $82.65 / $82.65
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 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.37 / $9.38 / $16.79