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South Dakota 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
$192.91 / $192.91 / $192.91
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$83.60 / $192.91 / $212.01
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $211.50 / $264.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$191.00 / $358.30 / $580.91
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$90.00 / $169.20 / $542.51
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$101.34 / $142.21 / $191.96
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.74 / $136.10 / $153.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.90 / $155.10 / $197.40