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Colorado 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
$97.07 / $97.07 / $97.07
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.30 / $97.07 / $196.73
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.75 / $100.75 / $100.75
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$99.83 / $129.22 / $182.70
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.21 / $93.21 / $93.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Denver HMP
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.07 / $112.00 / $207.73
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$155.00 / $155.00 / $329.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.04 / $129.97 / $221.39