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Minnesota 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
$116.15 / $116.15 / $116.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $105.00 / $142.60
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$49.00 / $50.00 / $258.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $50.00 / $50.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$259.44 / $371.28 / $813.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $139.84 / $161.44
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$224.82 / $333.24 / $766.99
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$127.13 / $127.13 / $135.60
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$47.66 / $85.27 / $196.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.00 / $105.56 / $248.06
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$52.00 / $101.92 / $190.32