Tynbil: Know the *real* price for healthcare services

North Dakota 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 $15.00 / $15.00 / $15.00	Facility	$15.00	$15.00	$15.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $56.00 / $76.76	Professional	$15.00	$56.00	$76.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $84.84 / $106.68	Professional	$11.55	$84.84	$106.68
Medica Facility/Professional Facility Modifier Low / Median / High Price $15.00 / $24.46 / $94.24	Facility	$15.00	$24.46	$94.24
Medica Facility/Professional Professional Modifier Low / Median / High Price $14.96 / $27.00 / $91.15	Professional	$14.96	$27.00	$91.15
United Facility/Professional Professional Modifier Low / Median / High Price $13.59 / $26.55 / $35.61	Professional	$13.59	$26.55	$35.61