go back

Washington, DC 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
Professional
Modifier
Low / Median / High Price
$43.00 / $109.25 / $109.25
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $134.75
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.91 / $58.95 / $110.27
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.00 / $57.50 / $126.35