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Wisconsin 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
$181.45 / $181.45 / $181.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$70.30 / $175.00 / $192.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$80.48 / $134.41 / $346.04
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$508.23 / $593.91 / $789.35
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $151.91 / $264.38
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.66 / $171.50 / $236.84
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$81.00 / $164.26 / $236.84
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $176.03 / $542.51
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $58.40 / $296.43
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$78.66 / $171.50 / $236.84
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$107.45 / $197.20 / $275.00
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$93.21 / $159.28 / $442.50
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$68.73 / $428.10 / $542.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$94.50 / $183.60 / $362.92