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Physician Documentation of DME Face-to-Face Visit

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

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$8.32

Typical negotiated rate. In Nebraska, July 2026.

Insurers have agreed to pay about $8.32 for this service. The price depends on where it is billed: about $8.32 from a physician practice, and about $12.59 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$8.32$7.41 to $9.77
FacilityA hospital or hospital-owned outpatient department$12.59$9.77 to $15.85

How much rates vary

Facilitymedian $13 · 10th to 90th $8 to $20Professionalmedian $8 · 10th to 90th $7 to $15
$10$20$50$100$200$500facility $13professional $8

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
Facility
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.08
Median
$8.32
Typical High
$10.00
BCBS
Setting
Facility
Modifier
Global
Typical Low
$32.36
Median
$467.74
Typical High
$616.60
BCBS
Setting
Professional
Modifier
Global
Typical Low
$7.76
Median
$8.13
Typical High
$8.32
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$10.72
Typical High
$21.38
Medica
Setting
Facility
Modifier
Global
Typical Low
$8.13
Median
$12.30
Typical High
$19.05
Medica
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$16.22
Typical High
$54.95
Midlands
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$14.79
Typical High
$21.38
Midlands
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$14.79
Typical High
$21.38
United
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$15.85
Typical High
$23.99

Where Nebraska 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.

Nebraska· 42nd of 51

$8.32

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.