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Pennsylvania 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
$95.55 / $95.55 / $109.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.47 / $84.00 / $109.25
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
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.55 / $95.55 / $109.20
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $95.55 / $112.70
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$194.20 / $236.20 / $236.20
Priority Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$51.82 / $51.82 / $51.82
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.60 / $54.00 / $92.56