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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 October 2026.

How much does MDPP First Core Session cost?

$23.99

Typical physician fee. In Maine, October 2026.

Insurers have agreed to pay about $23.99 for this service. Most negotiated rates run $11.22 to $25.70.

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

Professionalmedian $24 · 10th to 90th $11 to $36
$10$20$50professional $24

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
Anthem BCBS
Setting
Professional
Modifier
None
Typical Low
$8.32
Median
$11.22
Typical High
$12.30
Cigna
Setting
Professional
Modifier
None
Typical Low
$19.50
Median
$19.50
Typical High
$19.50
Harvard Pilgrim
Setting
Professional
Modifier
None
Typical Low
$25.12
Median
$28.84
Typical High
$44.67
Martin's Point
Setting
Professional
Modifier
None
Typical Low
$23.99
Median
$23.99
Typical High
$23.99
Martin's Point
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Martin's Point
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Martin's Point
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Martin's Point
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$2.40
Median
$2.40
Typical High
$2.40
United
Setting
Professional
Modifier
None
Typical Low
$21.88
Median
$25.70
Typical High
$43.65

Where Maine sits

The same service costs 2.7 times more in Alaska than in Connecticut. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Maine· 34th of 51

$23.99

AK $51.29CT $19.05

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.