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Michigan 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 $32–$590%50%90th$32Professionalmedian $30 · 10th–90th $15–$560%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$58.88 / $58.88 / $58.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $58.88 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $25.12 / $46.77
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $69.18
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.90 / $79.43
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $41.69 / $52.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $72.44 / $91.20