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Iowa 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
Professional
Modifier
Low / Median / High Price
$84.60 / $191.00 / $236.84
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $153.52 / $321.48
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.71 / $201.31 / $367.10
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $191.96 / $542.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $142.21 / $209.15
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$104.07 / $142.21 / $227.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.20 / $229.20 / $393.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$103.40 / $150.40 / $255.68