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Physician Documentation of DME Face-to-Face Visit

Vermont 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

Rates data updated July 2026.

How much does Physician Documentation of DME Face-to-Face Visit cost?

$8.32

Typical physician fee. In Vermont, July 2026.

Insurers have agreed to pay about $8.32 for this service. Most negotiated rates run $7.24 to $9.77.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $9 · 10th to 90th $9 to $10Professionalmedian $8 · 10th to 90th $5 to $10
$10$20facility $9professional $8

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$10.23
Median
$10.23
Typical High
$10.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.50
Median
$8.32
Typical High
$10.23
Cigna
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$8.32
Typical High
$8.32
MVP Health Care
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$12.88
Typical High
$21.88
United
Setting
Facility
Modifier
Global
Typical Low
$8.71
Median
$8.71
Typical High
$8.71
United
Setting
Professional
Modifier
Global
Typical Low
$8.32
Median
$12.30
Typical High
$19.05

Where Vermont sits

The same service costs 2.0 times more in Minnesota than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Vermont· 49th of 51

$8.32

MN $15.85LA $7.94

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.