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South Carolina 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
$11.85 / $70.00 / $80.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.13 / $17.64 / $154.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.66 / $15.66 / $15.66
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.80 / $15.15 / $98.28
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.80 / $13.80 / $14.09
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $30.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.00 / $30.60