go back

Utah 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
$31.50 / $31.50 / $31.50
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $28.50 / $35.34
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $18.97 / $18.97
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $45.00 / $45.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$23.79 / $27.33 / $34.33
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.70 / $29.18 / $43.67