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New Hampshire 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
$47.50 / $47.50 / $47.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.50 / $47.50 / $109.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $22.38 / $22.38
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.47 / $84.67 / $158.86
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $77.50 / $170.35
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00