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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
$8.32 / $8.32 / $8.32
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $8.36 / $10.97
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $75.00 / $75.00
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $15.08 / $55.28
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 / $11.11
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $8.75 / $9.98
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.70 / $11.58 / $17.76
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.65 / $21.11 / $27.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $75.00 / $75.00
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.68 / $15.08 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $13.36 / $25.15