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Rhode Island 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
$30.00 / $30.00 / $30.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $23.50 / $30.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.39 / $73.39 / $73.39
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.29 / $27.56 / $27.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.40 / $29.00 / $54.15