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Vermont 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
$17.70 / $17.70 / $17.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.90 / $17.70 / $42.56
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $11.55
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.55 / $11.55 / $19.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.00 / $21.00 / $175.89