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

California 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 $12$910%10%10th90th$21Professionalmedian $16 · 10th–90th $11$780%10%20%10th90th$16$0.0$0.2$2.0$20.0$200.0

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
$12.30
Median
$12.30
Typical High
$12.30
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.60
Typical High
$77.62
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$14.45
Typical High
$48.98
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Contra Costa Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$14.45
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$257.04
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$117.49
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.30
Median
$19.95
Typical High
$91.20
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$13.18
United
Setting
Facility
Modifier
Global
Typical Low
$14.13
Median
$14.13
Typical High
$41.69
United
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.22
Typical High
$38.90