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Maine 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
$8.61 / $8.61 / $8.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.61 / $16.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.57 / $9.90 / $16.52
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.54 / $12.40 / $22.18
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.61 / $8.61 / $16.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $13.02 / $17.48