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New Hampshire 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 b

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.75 / $25.00 / $28.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.25 / $23.75 / $35.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.84 / $35.79 / $63.12
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$31.05 / $35.10 / $61.55
Well Sense
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2,500.00 / $2,750.00 / $3,500.00