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Texas 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
$96.25 / $96.25 / $140.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $127.75 / $191.00
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$80.00 / $80.00 / $80.00
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
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$160.65 / $442.50 / $458.61
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$542.51 / $542.51 / $707.18
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.66 / $140.00 / $278.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$76.42 / $76.42 / $76.42
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$323.80 / $393.80 / $393.80
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.66 / $140.00 / $277.72
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$72.00 / $97.65 / $156.47
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $191.00 / $267.39