go back

Washington 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
$70.30 / $70.30 / $70.30
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.30 / $96.90 / $192.91
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$132.88 / $442.50 / $442.50
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $206.70 / $727.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $68.73 / $68.73
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$88.66 / $165.88 / $239.47
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.41 / $145.63 / $239.47
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $75.00
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$137.50 / $165.16 / $167.50
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$122.00 / $190.58 / $234.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$115.50 / $162.62 / $218.03
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$98.70 / $148.46 / $535.45
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$40.25 / $40.25 / $191.00