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MDPP Core Maintenance, Months 10-12, Under 5% Weight Loss

Alaska rates for HCPCS G9877

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 10-12 under the MDPP Expanded Model (EM). A core maintenance session is an MDPP service that: (1) is furnished by an MDPP supplier during months 7 through 12 of the MDPP services period; (2) is approximately 1 hour in length; and (3) adheres to a CDC-approved DPP curriculum for maintenance sessions. The beneficiary did not achieve at least 5% weight loss (WL) from his/her baseline weight, as measured by at least one in-person weight measurement at a core maintenance session in months 10-12

Rates data updated July 2026.

Facilitymedian $21 · 10th–90th $13$1200%5%10%10th90th$21Professionalmedian $30 · 10th–90th $11$740%10%20%10th90th$30$10.0$50.0$200.0$1.0K

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
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$77.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$120.23
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$22.91
Typical High
$79.43
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$56.23
Median
$56.23
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$29.51
Median
$56.23
Typical High
$74.13
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.88
Median
$21.38
Typical High
$120.23
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$23.99
Typical High
$64.57