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New Hampshire 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
$8.44 / $8.44 / $8.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $8.46 / $10.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.41 / $9.22 / $17.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.63 / $15.84 / $29.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.32 / $15.08 / $25.56
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.60 / $9.51 / $3,375.00