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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.75 / $5.75 / $8.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.75 / $8.36 / $10.23
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$10.01 / $10.01 / $10.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.74 / $7.74 / $7.74
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.77 / $10.48 / $14.85