go back

Kansas 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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $30.90 / $38.90
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $33.11
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$24.55 / $38.02 / $51.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $33.88 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.30 / $32.36 / $42.66