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Texas 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
$19.25 / $25.55 / $28.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $26.95 / $38.00
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 / $122.12 / $126.59
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$149.71 / $149.71 / $195.15
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $28.00 / $42.00
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.09 / $21.09 / $21.09
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.04 / $28.00 / $42.00
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.00 / $27.00 / $41.35
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.11 / $25.00 / $33.75