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Nationwide rates for HCPCS G9873

First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions

Facilitymedian $35 · 10th–90th $21–$590%20%40%10th90th$35Professionalmedian $27 · 10th–90th $19–$420%20%40%10th90th$27$0.0$0.5$10.0$200.0$5.0K$100.0K

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
$18.20 / $25.70 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $28.18 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$27.54 / $27.54 / $27.54
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.04 / $19.95 / $52.48
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $42.66
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $22.39 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $27.54 / $48.98

See more rates by state

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