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Wisconsin 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
$8.03 / $8.03 / $8.03
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.14 / $8.36 / $10.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.46 / $12.20 / $32.53
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.53 / $26.33 / $34.99
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $11.91 / $16.14
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $9.10 / $16.20
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.48 / $9.10 / $16.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.85 / $17.37 / $55.28
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.18 / $58.40 / $70.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$8.02 / $9.10 / $16.45
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.09 / $20.51 / $28.60
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $16.66 / $75.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $45.05 / $55.28
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.97 / $30.70 / $30.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.74 / $18.05 / $33.36