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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $8.71 / $8.71
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.71 / $10.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.36 / $15.12 / $120.12
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $23.67 / $30.50
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.13 / $27.38 / $59.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.47 / $10.31 / $11.91
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.57 / $24.58 / $56.56
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.38 / $9.38 / $10.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $14.01 / $21.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $18.38 / $40.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.03 / $18.51 / $33.19