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Physician Documentation of DME Face-to-Face Visit

Michigan 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 negotiated rate. In Michigan, July 2026.

Insurers have agreed to pay about $8.71 for this service. The price depends on where it is billed: about $8.71 from a physician practice, and about $8.71 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 7 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$8.71$7.94 to $10.23
FacilityA hospital or hospital-owned outpatient department$8.71$8.71 to $8.91

How much rates vary

Facilitymedian $9 · 10th to 90th $8 to $12Professionalmedian $9 · 10th to 90th $6 to $12
$10$20facility $9professional $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
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.71
Typical High
$10.23
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
BCBS
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$10.96
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$8.13
Typical High
$18.62
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$7.94
Typical High
$10.96
Priority Health
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$9.55
Typical High
$10.47
United
Setting
Facility
Modifier
Global
Typical Low
$7.41
Median
$8.32
Typical High
$10.23
United
Setting
Professional
Modifier
Global
Typical Low
$8.13
Median
$10.47
Typical High
$17.38

Where Michigan 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.

Michigan· 27th 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.