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Iowa 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
Professional
Modifier
Low / Median / High Price
$20.00 / $31.50 / $47.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $33.47 / $35.63
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $25.00 / $45.25
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.71 / $39.90 / $122.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.73 / $43.20 / $140.47
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $33.47 / $52.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $37.56 / $57.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.73 / $43.20 / $73.44
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00