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California 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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.00 / $22.00 / $22.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $23.75 / $38.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Contra Costa Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $20.00 / $24.00
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.00 / $638.07 / $801.00
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $122.12 / $126.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $195.15
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $50.00 / $60.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.98 / $29.27 / $41.28
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $26.65
The Alliance
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $30.00 / $34.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.95 / $27.00 / $86.28