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Iowa rates for HCPCS 0403T

Preventive behavior change, intensive program of prevention of diabetes using a standardized diabetes prevention program curriculum, provided to individuals in a group setting, minimum 60 minutes, per day

Facilitymedian $35 · 10th–90th $26–$760%10%20%10th90th$35Professionalmedian $30 · 10th–90th $15–$460%20%10th90th$30$20.0$50.0$100.0$200.0

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
$30.20 / $30.20 / $30.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $34.67
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $51.29
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $60.26 / $91.20
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $35.48 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $117.49 / $199.53
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $69.18
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $69.18 / $69.18
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$34.67 / $109.65 / $186.21