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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $8.36 / $8.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.03 / $8.36 / $10.43
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$462.77 / $517.53 / $517.53
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.82 / $8.23 / $8.27
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.94 / $14.41 / $22.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.36 / $14.21 / $20.30
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.22 / $17.88 / $55.28
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.94 / $14.55 / $22.70
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.09 / $14.77 / $22.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $13.83 / $17.19
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $18.68 / $21.81