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MDPP First Core Session

Maine rates for HCPCS G9873

First Medicare Diabetes Prevention Program (MDPP) core session was attended by an MDPP beneficiary under the MDPP Expanded Model (EM). A core session is an MDPP service that: (1) is furnished by an MDPP supplier during months 1 through 6 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for core sessions

Rates data updated July 2026.

How much does MDPP First Core Session cost?

$28.18

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $28.18 for this service. Most negotiated rates run $22.39 to $40.74.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $24 · 10th to 90th $24 to $24Professionalmedian $28 · 10th to 90th $19 to $59
$10.0$20.0$50.0$100.0facility $24professional $28

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$23.99
Typical High
$36.31
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$11.22
Typical High
$13.18
Cigna
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$23.99
Median
$39.81
Typical High
$69.18
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$21.38
Median
$25.12
Typical High
$36.31
United
Setting
Professional
Modifier
Global
Typical Low
$24.55
Median
$33.88
Typical High
$58.88

Where Maine sits

The same service costs 1.7 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Maine $28.18 · 15th of 51
SD $38.02LA $22.39

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.