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Massachusetts 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

Facilitymedian $21 · 10th–90th $21–$2,9510%50%90th$21Professionalmedian $28 · 10th–90th $20–$470%20%10th90th$28$20.0$100.0$500.0$2.0K$10.0K$50.0K

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
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.89 / $20.89 / $20.89
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $27.54 / $38.02
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $151.36
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $27.54
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$56.23 / $3,630.78 / $8,511.38
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $32.36 / $38.02
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.88 / $27.54 / $57.54
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151.36 / $151.36 / $151.36
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $38.90 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $35.48 / $69.18