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Massachusetts rates for HCPCS G0109

Diabetes outpatient self-management training services, group session (two or more), per 30 minutes

Facilitymedian $29 · 10th–90th $13–$2570%10%10th90th$29Professionalmedian $21 · 10th–90th $13–$950%10%10th90th$21$10.0$20.0$50.0$100.0$200.0$500.0

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
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $77.62 / $257.04
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.22 / $158.49
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $138.04
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $63.10
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $41.69 / $48.98
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $31.62 / $41.69
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $18.20
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$14.79 / $21.38 / $34.67
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $21.38 / $31.62
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $29.51 / $43.65
Health New England
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $25.12 / $25.12
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $138.04
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $21.88 / $63.10
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $16.60
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $24.55 / $44.67