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Physician Documentation of DME Face-to-Face Visit

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

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$13.80

Typical negotiated rate. In Oregon, July 2026.

Insurers have agreed to pay about $13.80 for this service. The price depends on where it is billed: about $13.49 from a physician practice, and about $14.45 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$13.49$8.32 to $18.20
FacilityA hospital or hospital-owned outpatient department$14.45$10.23 to $16.98

How much rates vary

Facilitymedian $14 · 10th to 90th $8 to $17Professionalmedian $13 · 10th to 90th $7 to $22
$10$20$50facility $14professional $13

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
$6.61
Median
$8.32
Typical High
$11.75
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$17.38
Typical High
$21.88
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.47
Typical High
$17.78
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$16.60
Typical High
$22.39
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$16.98
Typical High
$17.38
Providence
Setting
Facility
Modifier
Global
Typical Low
$7.59
Median
$10.72
Typical High
$18.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$18.20
Typical High
$26.92
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$18.20
Typical High
$24.55
United
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$16.22
Typical High
$23.99

Where Oregon 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.

Oregon· 3rd of 51

$13.80

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.