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Florida 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 $21 · 10th–90th $16–$250%20%10th90th$21Professionalmedian $24 · 10th–90th $17–$380%20%10th90th$24$0.1$0.5$5.0$50.0$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
$15.85 / $21.38 / $25.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $23.99 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Florida Blue
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.49 / $19.95 / $25.70
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.03 / $19.95 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.12 / $41.69
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.22 / $11.22 / $38.02