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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

Facilitymedian $25 · 10th–90th $13–$350%20%10th90th$25Professionalmedian $26 · 10th–90th $17–$390%20%10th90th$26$0.0$0.1$0.5$2.0$10.0$50.0

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
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $28.18 / $38.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.02 / $0.03 / $11.22
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$35.48 / $35.48 / $35.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $25.12
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $24.55 / $52.48
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $25.12 / $25.12
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $25.70 / $53.70
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $25.12
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.62 / $24.55 / $41.69