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Massachusetts 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
$77.40 / $77.40 / $77.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $84.60 / $181.45
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $458.61 / $458.61
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $146.46 / $542.51
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 / $98.76
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$116.69 / $116.69 / $137.28
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$102.40 / $203.00 / $259.89
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $458.61 / $458.61
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $146.46 / $542.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$89.10 / $126.90 / $288.68