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New York 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
$5.48 / $8.02 / $9.47
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $8.36 / $10.23
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.97 / $8.66 / $16.82
CDPHP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.72 / $12.72 / $12.72
CDPHP
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.72 / $12.72 / $12.72
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
Emblem Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $13.55 / $332.00
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.53 / $11.90 / $17.82
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $8.21 / $9.77
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $9.60 / $17.72
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $9.36 / $19.87
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.67 / $10.24 / $22.64
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.21 / $9.48 / $9.77
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.77 / $9.60 / $20.34