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Oregon 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

Facilitymedian $46 · 10th–90th $23–$460%50%10th$46Professionalmedian $28 · 10th–90th $19–$410%10%10th90th$28$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $21.38 / $33.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $19.50 / $19.50
Kaiser Permanente
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $45.71 / $58.88
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $45.71
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $28.84 / $39.81
Pacific Source
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$38.02 / $45.71 / $45.71
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $33.11 / $45.71
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $32.36 / $79.43
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$35.48 / $43.65 / $61.66
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $48.98 / $74.13