go back

Maine rates for HCPCS 0403T

Diabetes Prevention Prog Standardized Curriculum

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$120.06 / $120.06 / $120.06
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $24.01 / $120.06
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.98 / $26.22 / $42.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.25 / $25.31 / $34.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.92 / $41.22 / $64.14
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $30.48 / $120.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $28.54 / $45.57