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Nebraska 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–$200%10%10th90th$13Professionalmedian $8 · 10th–90th $7–$120%20%10th90th$8$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$7.94 / $7.94 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.94 / $10.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $467.74 / $616.60
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.76 / $8.13 / $8.32
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $11.22 / $20.42
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.30 / $19.05
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $16.22 / $54.95
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.30 / $14.79 / $21.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $14.79 / $21.38
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $19.05 / $21.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $15.85 / $21.88