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MDPP Four Core Sessions

Wisconsin rates for HCPCS G9874

Four total Medicare Diabetes Prevention Program (MDPP) core sessions were 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.

Facilitymedian $105 · 10th–90th $43$1660%10%20%10th90th$105Professionalmedian $85 · 10th–90th $40$1290%10%10th90th$85$1.0$5.0$20.0$100.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$109.65
Aetna
Setting
Professional
Modifier
Global
Typical Low
$37.15
Median
$95.50
Typical High
$117.49
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$151.36
Cigna
Setting
Facility
Modifier
Global
Typical Low
$269.15
Median
$354.81
Typical High
$512.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$87.10
Typical High
$158.49
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$104.71
Typical High
$141.25
Medica
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$100.00
Typical High
$151.36
Medica
Setting
Professional
Modifier
Global
Typical Low
$48.98
Median
$79.43
Typical High
$302.00
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$117.49
Typical High
$117.49
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$42.66
Median
$104.71
Typical High
$141.25
Quartz
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$102.33
Typical High
$151.36
Quartz
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$302.00
Quartz
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$239.88
Typical High
$302.00
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$60.26
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$70.79
Typical High
$154.88