go back

Physician Documentation of DME Face-to-Face Visit

Maryland 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

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$8.71

Typical physician fee. In Maryland, July 2026.

Insurers have agreed to pay about $8.71 for this service. Most negotiated rates run $7.59 to $9.77.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $7 · 10th to 90th $6 to $14Professionalmedian $9 · 10th to 90th $6 to $11
$10$20$50facility $7professional $9

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.71
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$9.77
Typical High
$13.49
United
Setting
Facility
Modifier
Global
Typical Low
$5.89
Median
$7.24
Typical High
$14.13
United
Setting
Professional
Modifier
Global
Typical Low
$7.41
Median
$10.23
Typical High
$17.78
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$11.75
Typical High
$13.49

Where Maryland sits

The same service costs 2.0 times more in Minnesota than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maryland· 25th of 51

$8.71

MN $15.85LA $7.94

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.