Tynbil: Know the *real* price for healthcare services

Maryland 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 $12.00 / $56.00 / $76.00	Professional	$12.00	$56.00	$76.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $15.66 / $15.66 / $15.66	Facility	$15.66	$15.66	$15.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional	$11.55	$11.55	$11.55
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $13.76 / $17.57 / $25.90	Professional	$13.76	$17.57	$25.90
United Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $15.00 / $26.57	Professional	$10.50	$15.00	$26.57
Wellpoint Facility/Professional Professional Modifier Low / Median / High Price $6.77 / $6.77 / $6.77	Professional	$6.77	$6.77	$6.77