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Indiana 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 $22 · 10th–90th $15$350%50%10th90th$22Professionalmedian $28 · 10th–90th $15$350%20%10th90th$28$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$15.14 / $21.88 / $21.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $25.70 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.88 / $29.51 / $42.66
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $35.48 / $794.33
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $28.84 / $41.69
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $57.54 / $107.15