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Physician Documentation of DME Face-to-Face Visit

Minnesota 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?

$15.85

Typical negotiated rate. In Minnesota, July 2026.

Insurers have agreed to pay about $15.85 for this service. The price depends on where it is billed: about $15.85 from a physician practice, and about $15.85 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 6 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$15.85$10.00 to $24.55
FacilityA hospital or hospital-owned outpatient department$15.85$9.55 to $27.54

How much rates vary

Facilitymedian $16 · 10th to 90th $9 to $66Professionalmedian $16 · 10th to 90th $8 to $31
$10$20$50$100$200$500$1Kfacility $16professional $16

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. 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
$5.75
Median
$8.71
Typical High
$10.47
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$15.85
Typical High
$128.82
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$20.89
Typical High
$30.90
Cigna
Setting
Facility
Modifier
Global
Typical Low
$17.78
Median
$27.54
Typical High
$83.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$9.55
Typical High
$12.02
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$19.50
Median
$33.88
Typical High
$66.07
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$9.33
Median
$9.33
Typical High
$10.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$11.48
Typical High
$23.44
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.71
Median
$15.49
Typical High
$54.95
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$17.38
Typical High
$27.54

Where Minnesota 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.

Minnesota· 1st of 51

$15.85

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.