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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.80 / $8.80 / $8.88
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.17 / $8.77 / $9.15
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.95 / $12.95 / $12.95
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $13.60 / $16.19
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $11.91
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $7.08 / $11.75
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $8.52 / $12.26
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.63 / $75.00 / $75.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.67 / $10.32 / $15.06