go back

Maine 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
$23.99 / $23.99 / $23.99
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $25.70 / $38.90
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.33 / $11.22 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.99 / $43.65 / $72.44
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $39.81
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $33.88 / $57.54