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Nationwide rates for HCPCS G9874

Four total Medicare Diabetes Prevention Program (MDPP) core sessions were 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
$37.15 / $57.54 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $64.57 / $117.49
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $56.23
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $44.67 / $104.71
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$72.44 / $72.44 / $407.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $125.89
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$30.20 / $42.66 / $63.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.74 / $54.95 / $100.00