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New York 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
$13.25 / $28.00 / $31.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.50 / $26.52 / $36.40
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $11.11
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
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $21.18 / $25.21
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $24.78 / $52.06
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.00 / $40.00 / $40.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.61 / $27.50 / $66.51
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $24.46 / $25.21
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $24.78 / $53.48