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New Hampshire 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
$85.50 / $85.50 / $85.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$47.70 / $85.50 / $181.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $40.25 / $40.25
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
$92.58 / $152.29 / $285.75
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$92.70 / $141.00 / $283.79
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00