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Tennessee 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
$92.82 / $92.82 / $92.82
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $56.10 / $117.30
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$89.32 / $246.01 / $254.98
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$301.64 / $301.64 / $393.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.20 / $58.70 / $106.60