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North Dakota 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

Facilitymedian $68 · 10th–90th $52–$1410%20%10th90th$68Professionalmedian $58 · 10th–90th $38–$1260%10%10th90th$58$50.0$100.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $52.48 / $114.82
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $57.54 / $125.89
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$39.81 / $125.89 / $162.18
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$52.48 / $81.28 / $199.53
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $87.10 / $302.00
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $60.26 / $109.65