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Virginia 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
$28.60 / $28.60 / $36.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $28.60 / $36.10
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.96 / $27.45 / $39.90
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.80 / $31.17 / $52.04
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.95 / $40.51 / $54.24
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $29.23 / $44.54
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.96 / $29.23 / $44.54
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.75 / $18.75 / $18.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $27.45 / $45.50