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Minnesota 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
Facility
Modifier
Low / Median / High Price
$66.07 / $95.50 / $229.09
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.84 / $33.11 / $36.31
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$74.13 / $91.20 / $177.83
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.18 / $38.90
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$22.39 / $36.31 / $50.12
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.54 / $56.23 / $134.90
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.44 / $42.66 / $93.33