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New Jersey 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $43.70 / $43.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.00 / $44.00 / $109.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $51.82 / $51.82
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $56.79 / $59.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.31 / $50.00 / $94.65