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Massachusetts 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
$43.00 / $43.00 / $43.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $47.00 / $109.20
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.32 / $254.98 / $254.98
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $81.02 / $301.64
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 / $54.92
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.87 / $64.87 / $76.31
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$56.93 / $112.86 / $144.49
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.32 / $254.98 / $254.98
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $81.02 / $301.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.00 / $70.00 / $160.38