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West 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.39 / $29.39 / $29.39
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.60 / $31.41 / $37.13
CareSource
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.94 / $464.06 / $1,039.50
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$119,998.80 / $119,998.80 / $119,998.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$39.43 / $39.43 / $39.43
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.93 / $155.93 / $155.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.48 / $31.96 / $52.50