go back

Louisiana 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 $18 · 10th–90th $18–$180%50%$18Professionalmedian $26 · 10th–90th $18–$380%10%10th90th$26$0.5$2.0$10.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.20 / $18.20 / $18.20
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $22.39
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $25.12 / $40.74