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Tennessee 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
$15.40 / $15.40 / $15.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.29 / $8.76 / $10.23
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.02 / $8.02 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.46 / $10.75 / $16.51
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.44 / $75.00 / $85.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.28 / $55.28 / $70.34
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.97 / $10.27 / $18.84