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Missouri 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
$40.00 / $106.95 / $126.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.02 / $22.38 / $44.96
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $132.25 / $239.27
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.80 / $70.20 / $301.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $65.00 / $163.30