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South Dakota 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
$38.38 / $38.38 / $38.38
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.88 / $38.38 / $42.18
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $42.00 / $52.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.04 / $71.28 / $115.57
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $46.80 / $149.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $39.25 / $52.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.29 / $37.56 / $42.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.10 / $42.90 / $54.60