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New Jersey 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
$78.66 / $78.66 / $78.66
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$61.20 / $79.20 / $182.00
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
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.81 / $102.13 / $107.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$63.51 / $94.00 / $173.08