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Texas 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
$5.08 / $5.08 / $7.24
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.48 / $8.03 / $9.80
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.36 / $7.49 / $7.49
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.62 / $82.65 / $82.65
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $9.06 / $16.82
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.86 / $12.19 / $15.64
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.66 / $9.28 / $16.05
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.69 / $9.06 / $19.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $20.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.35 / $9.84 / $15.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.18 / $8.44 / $11.56