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Missouri 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
Professional
Modifier
Low / Median / High Price
$7.14 / $8.76 / $9.98
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $8.90 / $11.81
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.10 / $11.57 / $19.46
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.44 / $12.24 / $55.28
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.28 / $11.33 / $19.89