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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.19 / $8.88 / $10.43
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.85 / $10.15 / $14.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.20 / $9.73 / $17.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.49 / $12.77