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Utah 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.00 / $63.00 / $63.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.70 / $63.00 / $105.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $38.22 / $38.22
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.92 / $58.80 / $69.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.36 / $62.38 / $86.94