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New York 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
$47.70 / $140.00 / $159.25
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$59.40 / $96.90 / $182.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.03 / $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
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $76.73 / $91.32
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.13 / $89.79 / $188.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.21 / $93.21 / $93.21
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$71.76 / $100.96 / $244.84
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$76.73 / $88.61 / $91.32
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.66 / $89.79 / $193.78