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Nationwide rates for HCPCS G9890

Bridge Payment: A one-time payment for the first Medicare Diabetes Prevention Program (MDPP) core session, core maintenance session, or ongoing maintenance session furnished by an MDPP supplier to an MDPP beneficiary during months 1-24 of the MDPP Expanded Model (EM) who has previously received MDPP services from a different MDPP supplier under the MDPP Expanded Model. A supplier may only receive one bridge payment per MDPP beneficiary

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier	Facility/Professional	Typical Low	Median	Typical High
Aetna Facility/Professional Facility Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $38.02	Facility	$19.05	$28.18	$38.02
Aetna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.05 / $28.18 / $38.02	Professional	$19.05	$28.18	$38.02
BCBS Facility/Professional Professional Modifier Typical Low / Median / Typical High $15.49 / $16.98 / $25.12	Professional	$15.49	$16.98	$25.12
Cigna Facility/Professional Facility Modifier Typical Low / Median / Typical High $35.48 / $83.18 / $229.09	Facility	$35.48	$83.18	$229.09
Cigna Facility/Professional Professional Modifier Typical Low / Median / Typical High $19.50 / $19.50 / $36.31	Professional	$19.50	$19.50	$36.31
United Facility/Professional Facility Modifier Typical Low / Median / Typical High $27.54 / $37.15 / $52.48	Facility	$27.54	$37.15	$52.48
United Facility/Professional Professional Modifier Typical Low / Median / Typical High $21.38 / $30.20 / $56.23	Professional	$21.38	$30.20	$56.23

Nationwide rates for HCPCS G9890

See more rates by state