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Rhode Island 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
Professional
Modifier
Low / Median / High Price
$19.98 / $30.00 / $39.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.67 / $54.32 / $64.93
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.14 / $26.50 / $26.50
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $36.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$25.00 / $28.35 / $43.20