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Physician Documentation of DME Face-to-Face Visit

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

Rates data updated July 2026.

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

$10.96

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $10.96 for this service. Most negotiated rates run $8.71 to $16.98.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $9Professionalmedian $11 · 10th to 90th $8 to $22
$10$20facility $9professional $11

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
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.51
Typical High
$9.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$9.33
Typical High
$15.85
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$25.12
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$8.71
Typical High
$9.33
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$21.88

Where Maine 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.

Maine· 9th of 51

$10.96

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.