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Rhode Island 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
$108.00 / $108.00 / $108.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $84.60 / $108.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$264.20 / $264.20 / $264.20
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.70 / $100.70 / $100.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$84.60 / $103.40 / $265.49