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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.36 / $11.69
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.67 / $13.67 / $13.67
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.94 / $13.67
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.14 / $8.80 / $13.67
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $14.04 / $22.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.48 / $15.08 / $18.19