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Kansas 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
Facility
Modifier
Low / Median / High Price
$67.64 / $67.64 / $67.64
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.11 / $76.00 / $84.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$56.00 / $78.28 / $107.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.75 / $20.25 / $91.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $19.20 / $35.27