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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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.20 / $25.70 / $38.02	Facility	$18.20	$25.70	$38.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.62 / $28.18 / $38.90	Professional	$18.62	$28.18	$38.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $27.54 / $27.54 / $27.54	Facility	$27.54	$27.54	$27.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.32 / $19.95 / $50.12	Professional	$8.32	$19.95	$50.12
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.48 / $35.48 / $134.90	Facility	$35.48	$35.48	$134.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $19.05 / $42.66	Professional	$19.05	$19.05	$42.66
United Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $21.38 / $30.90	Facility	$15.14	$21.38	$30.90
United Facility/Professional Professional Modifier Low / Median / High Price $20.42 / $27.54 / $48.98	Professional	$20.42	$27.54	$48.98

Nationwide rates for HCPCS G9873

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