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Nationwide rates for HCPCS G9875

Nine 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
$67.61 / $102.33 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.79 / $112.20 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.03 / $81.28 / $190.55
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$128.82 / $128.82 / $691.83
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $213.80
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$53.70 / $75.86 / $112.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.13 / $100.00 / $181.97