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Maryland 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
Professional
Modifier
Low / Median / High Price
$19.25 / $31.50 / $38.00
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 / $18.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.61 / $28.87 / $42.56
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.00 / $18.20 / $34.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $25.00 / $45.61
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11