Tynbil: Know the *real* price for healthcare services

Alabama 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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.61 / $56.00 / $93.10	Professional	$12.61	$56.00	$93.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.65 / $94.90 / $103.13	Facility	$81.65	$94.90	$103.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional	$11.55	$11.55	$11.55
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $14.55 / $20.87	Professional	$10.50	$14.55	$20.87