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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

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
$5.01 / $7.94 / $10.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.76 / $7.76 / $12.02
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.55 / $12.88 / $14.45
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.32 / $12.02 / $19.95