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Tennessee 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
$27.54 / $29.43 / $48.20
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.75 / $27.54 / $38.76
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$44.34 / $126.59 / $126.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $195.15
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.30 / $27.50 / $51.00