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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

Facilitymedian $13 · 10th–90th $8–$170%20%10th90th$13Professionalmedian $8 · 10th–90th $7–$150%20%10th90th$8$10.0$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.96
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.80 / $13.80 / $13.80
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $13.80
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $15.85
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.13 / $15.14 / $15.85
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.24 / $10.47 / $18.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $19.05 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.12 / $14.45 / $17.38