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New York 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
$13.25 / $21.85 / $31.85
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $26.25 / $36.10
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $25.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.53 / $21.18 / $22.26
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.53 / $24.46 / $38.04
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$25.73 / $25.73 / $74,999.25
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.60 / $29.70 / $62.02
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.18 / $24.46 / $24.46
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.05 / $24.46 / $41.25