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Pennsylvania 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
$36.40 / $36.40 / $36.40
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $28.00 / $36.40
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Martin's Point
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.40 / $36.40 / $36.40
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.98 / $28.60 / $36.40
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.95 / $31.55 / $50.56