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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

Facilitymedian $8 · 10th–90th $8–$130%50%90th$8Professionalmedian $8 · 10th–90th $6–$130%20%10th90th$8$0.1$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $12.88 / $14.45
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $11.75
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.08 / $8.13 / $18.62
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $12.02
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $9.33
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.41 / $8.32 / $10.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $10.23 / $16.60