go back

Virginia 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
$28.18 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $28.18 / $38.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.05 / $19.05 / $19.05
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.78 / $24.55 / $32.36
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $30.20 / $45.71
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.38 / $29.51 / $10,000.00
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$21.38 / $29.51 / $10,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$20.42 / $29.51 / $48.98