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Massachusetts 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 / $10.96
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $12.02 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.76 / $7.94 / $10.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.80 / $19.50
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $15.14 / $23.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.86 / $75.86 / $75.86
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.30 / $54.95
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.59 / $23.44