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 | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $11.39 | $14.10 | $72.20 | |
Cigna
| Facility | $22.08 | $22.08 | $22.08 | |
Cigna
| Professional | $11.55 | $11.55 | $22.08 | |
Providence
| Facility | $11.39 | $17.09 | $81.31 | |
Providence
| Professional | $11.55 | $22.08 | $2,250,000.00 | |
United
| Professional | $19.57 | $24.11 | $29.09 |