Tynbil: Know the *real* price for healthcare services

Kansas 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 Facility Modifier Low / Median / High Price $67.64 / $67.64 / $67.64	Facility	$67.64	$67.64	$67.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.11 / $76.00 / $84.70	Professional	$13.11	$76.00	$84.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional	$11.55	$11.55	$11.55
Medica Facility/Professional Facility Modifier Low / Median / High Price $56.00 / $78.28 / $107.15	Facility	$56.00	$78.28	$107.15
Medica Facility/Professional Professional Modifier Low / Median / High Price $15.75 / $20.25 / $91.15	Professional	$15.75	$20.25	$91.15
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $19.20 / $35.27	Professional	$15.00	$19.20	$35.27