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Virginia 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 $35 · 10th–90th $19–$550%10%20%10th90th$35Professionalmedian $30 · 10th–90th $15–$370%10%20%10th90th$30$20.0$50.0$100.0$200.0$500.0$1.0K$2.0K

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
$34.67 / $37.15 / $37.15
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $30.20 / $37.15
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $31.62 / $43.65
CareFirst
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $25.70 / $33.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $25.12 / $29.51
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $36.31 / $48.98
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $31.62 / $53.70
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $40.74 / $60.26
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $40.74 / $60.26
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $57.54