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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $21.50 / $21.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $25.00 / $36.10
AllWays Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
AllWays Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $39.15 / $149.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $27.25
Fallon Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$60.00 / $3,504.00 / $9,239.00
Fallon Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.20 / $32.20 / $37.89
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.10 / $39.72 / $61.52
Mass General Brigham
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
Mass General Brigham
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $39.15 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $35.10 / $67.16