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Missouri 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 $34 · 10th–90th $20–$710%10%10th90th$34Professionalmedian $31 · 10th–90th $15–$710%10%10th90th$31$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
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $28.18 / $33.88
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $67.61 / $89.13
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $24.55 / $29.51
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $33.88 / $70.79
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $91.20 / $199.53
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $67.61 / $128.82