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Virginia 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

Facilitymedian $10 · 10th–90th $8–$170%20%10th90th$10Professionalmedian $9 · 10th–90th $7–$140%20%40%10th90th$9$1.0$5.0$20.0$100.0$500.0$2.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.94 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $10.96 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.32 / $8.32 / $8.32
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.59 / $9.77 / $14.79
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$7.59 / $10.23 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.03 / $7.41 / $8.13
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.71 / $10.47 / $17.78
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $10.72 / $17.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $8.32 / $12.59
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.24 / $10.23 / $16.60