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Montana 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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $32.60 / $37.22
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$52.58 / $52.58 / $52.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.48 / $44.69 / $52.58
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.60 / $33.01 / $52.58
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $32.40 / $52.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.43 / $55.80 / $67.12