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North Carolina 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
$35.00 / $35.00 / $35.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $35.00 / $37.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.67 / $43.41 / $100.00
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.85 / $27.50 / $43.75
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.15 / $30.00 / $32.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.60 / $64.80 / $78.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.50 / $27.50 / $27.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.50 / $29.38 / $63.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $195.15 / $195.15