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Vermont 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
Facility
Modifier
Low / Median / High Price
$15.60 / $15.60 / $15.60
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $15.60 / $34.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.18 / $34.18 / $34.18
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.14 / $30.01 / $90.36