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Maine 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 servic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$87.42 / $87.42 / $87.42
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $87.42 / $192.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $40.25 / $40.25
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
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$101.35 / $119.23 / $213.26
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$85.50 / $87.42 / $192.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.00 / $130.50 / $171.81