go back

New York 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
$26.50 / $84.00 / $95.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$33.00 / $53.97 / $109.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $22.38
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
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $42.67 / $50.78
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.32 / $49.92 / $104.87
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $51.82 / $51.82
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.59 / $54.60 / $132.75
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$42.67 / $49.27 / $50.78
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.40 / $49.92 / $107.74