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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

Facilitymedian $39 · 10th–90th $22–$470%10%20%10th90th$39Professionalmedian $31 · 10th–90th $19–$400%10%10th90th$31$20.0$50.0$100.0

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $37.15
MountainHealth Co-op
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $40.74
MountainHealth Co-op
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $39.81 / $40.74
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $31.62 / $57.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $36.31 / $79.43
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $38.90 / $48.98