go back

Washington, DC 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).

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $72.20 / $72.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $89.04
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.38 / $17.80 / $33.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.50 / $15.92 / $40.76