go back

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

Minnesota 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 $78 · 10th–90th $15$4570%10%10th90th$78Professionalmedian $15 · 10th–90th $12$780%50%10th90th$15$10.0$20.0$50.0$100.0$200.0$500.0

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
$77.62
Median
$77.62
Typical High
$77.62
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$38.02
Typical High
$77.62
BCBS
Setting
Facility
Modifier
Global
Typical Low
$14.79
Median
$15.14
Typical High
$147.91
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.14
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$158.49
Median
$251.19
Typical High
$758.58
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$85.11
Typical High
$107.15
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$177.83
Median
$302.00
Typical High
$588.84
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$83.18
Median
$83.18
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$13.80
Median
$26.92
Typical High
$128.82
Medica
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$25.70
Typical High
$91.20
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$19.50
Typical High
$40.74