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Utah 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 servic

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$113.40 / $113.40 / $113.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$67.81 / $113.40 / $175.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $60.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.18 / $105.75 / $124.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.25 / $96.37 / $157.16