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Pennsylvania 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
$8.02 / $8.02 / $9.77
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.03 / $8.36 / $9.80
Capital Blue Cross
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8,459.92 / $8,639.91 / $79,506.39
Capital Blue Cross
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $14.12 / $17.11
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
$18.89 / $18.89 / $18.89
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $12.66 / $17.82
Highmark BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.02 / $9.02 / $9.02
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $8.02 / $9.77
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.69 / $10.97
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.73 / $13.26 / $18.60
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
UPMC Health Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.07 / $8.61 / $8.61
UPMC Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.40 / $8.61 / $8.94
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.83 / $9.94 / $17.25