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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 b

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$36.10 / $36.10 / $36.10
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.25 / $35.34 / $39.14
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$68.48 / $80.03 / $122.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $39.04 / $47.65
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $36.10 / $47.12
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.36 / $36.10 / $49.19
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.70 / $45.00 / $149.71
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$50.00 / $60.00 / $81.81
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$21.50 / $36.10 / $47.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.82 / $44.85 / $69.26
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$43.36 / $43.96 / $122.12
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$18.97 / $118.15 / $149.71
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$29.25 / $43.20 / $101.25