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North Carolina 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
$8.76 / $8.76 / $8.76
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.56 / $8.76 / $9.86
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.13 / $16.26 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $8.76 / $13.71
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.79 / $8.57 / $21.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.16 / $13.37 / $17.02
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.15 / $10.40 / $22.04
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $75.00 / $85.00
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $70.34 / $70.34