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Missouri 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
$72.00 / $177.63 / $210.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.21 / $40.25 / $80.87
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$123.17 / $219.65 / $397.39
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $126.90 / $542.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $117.50 / $248.30