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Texas 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
$19.25 / $19.25 / $28.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.23 / $26.79 / $38.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $20.00 / $20.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $122.12 / $126.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $195.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $29.22 / $57.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $21.09 / $21.09
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.80 / $78.80 / $78.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.50 / $29.22 / $55.65
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $26.26 / $42.67
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $38.00 / $53.20