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Texas 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
$57.75 / $57.75 / $84.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.00 / $76.65 / $115.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $82.30 / $166.95
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.49 / $42.49 / $42.49
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$191.90 / $236.20 / $236.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.70 / $84.00 / $166.63
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$39.00 / $53.55 / $86.56
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.38 / $115.00 / $161.00