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Physician Documentation of DME Face-to-Face Visit

Montana 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?

$9.77

Typical negotiated rate. In Montana, July 2026.

Insurers have agreed to pay about $9.77 for this service. The price depends on where it is billed: about $9.12 from a physician practice, and about $13.49 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$9.12$7.94 to $12.59
FacilityA hospital or hospital-owned outpatient department$13.49$9.33 to $15.14

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $17Professionalmedian $9 · 10th to 90th $7 to $16
$10$20$50facility $13professional $9

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
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.91
Typical High
$11.75
BCBS
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$13.80
Typical High
$13.80
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$13.80
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$15.85
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$15.14
Typical High
$15.85
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.24
Median
$10.47
Typical High
$18.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$19.05
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$9.12
Median
$14.45
Typical High
$17.38

Where Montana 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.

Montana· 14th of 51

$9.77

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.