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Missouri 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
$35.34 / $35.34 / $43.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $35.34 / $43.70
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$28.50 / $39.22 / $85.52
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.65 / $37.88 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.00 / $33.75 / $63.52