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South 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$116.15 / $116.15 / $116.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.76 / $116.15 / $127.65
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $127.13 / $158.91
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$106.47 / $215.73 / $349.76
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $93.60 / $301.64
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.35 / $79.06 / $106.73
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.01 / $75.69 / $85.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $75.40 / $109.20