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Oregon 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

Facilitymedian $14 · 10th–90th $8–$170%20%10th90th$14Professionalmedian $10 · 10th–90th $7–$220%20%10th90th$10$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.96
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.80 / $17.38 / $21.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.47 / $17.78
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $16.60 / $22.39
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $16.98 / $17.38
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.72 / $18.20
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $18.20 / $26.92
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $18.20 / $24.55
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.33 / $16.22 / $23.99