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Alaska rates for HCPCS G9877

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.96 / $38.02 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $29.51 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $19.05 / $85.11
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.23 / $56.23 / $3,467.37
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $54.95 / $74.13
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $21.88 / $120.23
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.02 / $79.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.13 / $30.20 / $75.86