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Massachusetts 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
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $21.50 / $21.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.50 / $22.00 / $36.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $40.51 / $149.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $27.25
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $32.20 / $37.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.26 / $56.02 / $71.72
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $40.51 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $35.10 / $87.51