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New York rates for HCPCS G0109

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

Facilitymedian $58 · 10th–90th $9$5620%5%10%10th90th$58Professionalmedian $19 · 10th–90th $13$870%10%20%10th90th$19$0.2$1.0$5.0$20.0$100.0$500.0$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
$8.51 / $70.79 / $562.34
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $15.85 / $109.65
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $15.49 / $23.44
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $17.38 / $23.99
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $24.55 / $24.55
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $23.44
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $34.67 / $141.25
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $22.91 / $33.88
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $14.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $19.50 / $33.88
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $21.38
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $21.88 / $35.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $17.78 / $18.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $24.55 / $281.84
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $12.02 / $16.98
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $16.98 / $26.92