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Montana 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
$18.71 / $23.50 / $36.10
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68,099.99 / $68,099.99 / $81,499.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.28 / $36.28 / $36.28
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $36.28
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.23 / $28.34 / $40.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $36.28 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.86 / $40.68 / $48.52