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North Dakota 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
$26.92 / $26.92 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.89 / $28.18 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $28.84 / $35.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$26.92 / $28.18 / $45.71
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$26.92 / $48.98 / $151.36
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.55 / $34.67 / $51.29