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Minnesota 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 $33 · 10th–90th $19–$740%20%10th90th$33Professionalmedian $13 · 10th–90th $11–$330%20%10th90th$13$10.0$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
$33.11 / $33.11 / $33.11
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
$13.49 / $31.62 / $33.11
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$47.86 / $64.57 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $24.55 / $29.51
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$48.98 / $63.10 / $125.89
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $23.44 / $23.44
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $30.90 / $51.29
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $58.88 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $42.66 / $87.10