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North Carolina 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
$35.00 / $35.00 / $38.78
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $30.00 / $37.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$16.54 / $20.67 / $71.31
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.20 / $28.60 / $42.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.51 / $19.51 / $23.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.25 / $30.78 / $63.51
Wellcare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $75.00 / $126.59
Wellcare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $195.15 / $195.15