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Maryland 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
$19.25 / $28.50 / $37.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.29 / $24.06 / $36.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.50 / $26.25 / $47.37
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $11.11 / $11.11