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Montana 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
$37.70 / $47.00 / $109.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$73.09 / $73.09 / $73.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $73.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$38.47 / $59.26 / $123.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $73.09 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.16 / $81.36 / $97.04