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Physician Documentation of DME Face-to-Face Visit

New Mexico 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 physician fee. In New Mexico, July 2026.

Insurers have agreed to pay about $8.32 for this service. Most negotiated rates run $7.08 to $10.47.

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 7 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $10 · 10th to 90th $8 to $16Professionalmedian $8 · 10th to 90th $6 to $13
$10$20$50facility $10professional $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
Professional
Modifier
Global
Typical Low
$6.76
Median
$8.32
Typical High
$10.47
Ambetter
Setting
Professional
Modifier
Global
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.17
Median
$8.13
Typical High
$11.48
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$32.36
Typical High
$33.11
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.00
Typical High
$16.22
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$23.44
United
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$12.59
United
Setting
Professional
Modifier
Global
Typical Low
$8.51
Median
$12.59
Typical High
$18.62

Where New Mexico 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.

New Mexico· 46th 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.