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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.00 / $10.00 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.94 / $10.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $10.72 / $16.98
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 / $7.76
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.41 / $9.77 / $14.45
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.59 / $10.23 / $16.22
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.03 / $7.41 / $8.13
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.71 / $10.47 / $17.78
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.71 / $10.72 / $17.78
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.59 / $12.59 / $12.59
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $10.23 / $16.60