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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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.08 / $7.08 / $7.08
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $8.13 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $9.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.41 / $9.77 / $16.60
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $8.32 / $21.88
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $12.88 / $18.62