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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
$38.02 / $38.02 / $38.02
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.20 / $28.18 / $38.90
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$95.50 / $125.89 / $245.47
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.50 / $20.42 / $20.89
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $35.48 / $52.48
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.12 / $44.67 / $72.44
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$42.66 / $52.48 / $151.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $37.15 / $57.54
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$28.18 / $51.29 / $51.29
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$41.69 / $53.70 / $95.50