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Nebraska 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
$25.00 / $38.00 / $38.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $36.10 / $38.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$97.08 / $129.44 / $262.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.68 / $20.71 / $20.71
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.50 / $35.63 / $53.04
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.00 / $44.34 / $72.20
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $52.65 / $99.71
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.97 / $33.47 / $52.99
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$27.97 / $37.56 / $62.01
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$43.20 / $54.00 / $95.38