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Colorado 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
$53.97 / $53.97 / $53.97
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $53.97 / $118.45
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$55.93 / $55.93 / $55.93
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.49 / $71.73 / $101.42
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $51.82 / $51.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.97 / $63.00 / $118.45
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.88 / $72.04 / $118.15