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Alaska rates for HCPCS G9878

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 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 achieved 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 7-9

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.29 / $95.95 / $137.36
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $45.92 / $45.92
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$84.63 / $137.36 / $192.30
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$55.53 / $79.33 / $81.05
Premera BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$225.45 / $225.45 / $3,495.87
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$109.39 / $210.42 / $297.26
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.40 / $137.36 / $192.30
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.92 / $63.88 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$111.29 / $126.00 / $256.08