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Arizona 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 / $67.61 / $67.61
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.61 / $120.23 / $194.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$69.18 / $69.18 / $69.18
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$67.61 / $102.33 / $213.80
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $107.15 / $537.03
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$63.10 / $72.44 / $95.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$77.62 / $95.50 / $173.78