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Virginia 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
$102.30 / $102.30 / $181.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$73.80 / $102.30 / $181.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.02 / $0.02 / $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
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$79.56 / $99.47 / $144.59
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.40 / $111.69 / $235.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.00 / $146.77 / $196.54
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$86.80 / $105.90 / $161.36
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$86.80 / $105.90 / $161.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.50 / $99.00 / $167.17