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Virginia 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
$56.10 / $56.10 / $109.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.00 / $56.10 / $109.25
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $22.38
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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.24 / $55.30 / $80.39
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$40.79 / $62.96 / $139.84
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$64.00 / $81.59 / $109.27
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$48.27 / $58.89 / $89.73
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$48.27 / $58.89 / $89.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$37.50 / $55.00 / $91.05