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Georgia 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
$83.60 / $83.60 / $95.95
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.81 / $94.62 / $192.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$38.22 / $79.68 / $197.63
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 / $170.92
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.92 / $89.92 / $314.29
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.80 / $393.80 / $393.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.22 / $115.41 / $189.00