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West 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 $6 · 10th–90th $5–$130%20%10th90th$6Professionalmedian $8 · 10th–90th $5–$100%20%10th90th$8$10.0$20.0

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
$5.37 / $6.17 / $7.94
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.37 / $7.94 / $10.00
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 / $40.74
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $9.77 / $14.79