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Kansas 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 $32 · 10th–90th $23$760%10%20%10th90th$32Professionalmedian $30 · 10th–90th $15$810%10%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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $28.18 / $33.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$60.26 / $72.44 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.70 / $69.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $32.36 / $75.86
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $95.50 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $81.28 / $117.49