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

Nationwide rates for HCPCS G9875

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