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MDPP Bridge Payment

Maine 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

Rates data updated July 2026.

How much does MDPP Bridge Payment cost?

$25.70

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $25.70 for this service. Most negotiated rates run $21.38 to $33.11.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 5 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $26 · 10th to 90th $19 to $36
$20$50professional $26

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$25.12
Typical High
$36.31
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$20.89
Median
$28.84
Typical High
$46.77
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.70
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$25.12
Median
$33.11
Typical High
$50.12

Where Maine sits

The same service costs 1.6 times more in Missouri than in Vermont. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 37th of 51

$25.70

MO $35.48VT $21.88

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.