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South Carolina 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
$11.48 / $11.48 / $11.48
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $7.94 / $8.71
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.23 / $11.22 / $11.75
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
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $9.55 / $9.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.23 / $16.98
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $7.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $32.36 / $33.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $9.55 / $15.49