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North Carolina 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
$175.00 / $175.00 / $175.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $175.00 / $187.18
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$74.88 / $100.00 / $265.37
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
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$83.60 / $99.51 / $210.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.88 / $107.00 / $115.00
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$229.20 / $323.80 / $393.80
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$81.00 / $107.16 / $228.64
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $458.61 / $458.61
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.51 / $707.18 / $707.18