Trinity Health Plan of Michigan's 2026 incentive to a network provider for each HbA1c result reported as a CPT II result code with a diabetes diagnosis code (each result band pays the same)
$10
USD per HbA1c test result reported (paid to the provider), US (Michigan)
“As a network provider, you can earn an incentive for submitting accurate CPT Category II codes through claims. ... Care for Patients with Diabetes-HbA1c level less than 7.0 (Diabetic members only.) 3044F Filed with ICD-10 Diag Codes: ICD-10-E10.9, ... O24.011-O24.33, O24.811-O24.83 $10 Care for Patients with Diabetes-HbA1c level greater than 9.0 (Diabetic members only.) 3046F”
- Kind of source
- The payer's or seller's own page
- Read on
- 2026-11-07
- Daily check
- Quote found at the source on 2026-11-07
- What to know
- A Medicare Advantage plan's published price for one lab value, paid to the practice (not the patient) for coding the HbA1c band on the claim; the guide says the codes spare the plan a chart request. All four HbA1c bands pay $10, so it prices the reported value, not a good result. The same table appears in the plan's Idaho guide (Saint Alphonsus Health Plan, also $10).
- Arithmetic
- Stated per result; no arithmetic. Filed as side cost by the operator: a health plan paying a practice to code and report one result for its own quality measurement is what it costs that buyer to obtain the result, not a research licence price.
Used in
Kept as evidence; no figure on the platform is computed from it yet.