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Wisconsin 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

Facilitymedian $36 · 10th–90th $21–$910%20%10th90th$36Professionalmedian $34 · 10th–90th $19–$510%10%20%10th90th$34$20.0$50.0$100.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $36.31 / $36.31
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $28.18 / $38.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$69.18 / $79.43 / $128.82
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $38.02 / $48.98
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$20.42 / $36.31 / $48.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.38 / $36.31 / $48.98
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $45.71 / $151.36
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$50.12 / $58.88 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $37.15 / $72.44
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$43.65 / $43.65 / $151.36
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $117.49 / $151.36
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $41.69 / $89.13