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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 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
$63.10 / $63.10 / $63.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $67.61 / $117.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.02 / $38.02 / $38.02
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $44.67 / $54.95
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$46.77 / $60.26 / $75.86
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $138.04 / $138.04
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$51.29 / $64.57 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.65 / $56.23 / $97.72