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

Nebraska 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 $91 · 10th–90th $15$1480%10%20%10th90th$91Professionalmedian $19 · 10th–90th $11$850%20%10th90th$19$0.0$0.1$0.5$2.0$10.0$50.0$200.0

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
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$85.11
BCBS
Setting
Facility
Modifier
Global
Typical Low
$120.23
Median
$125.89
Typical High
$165.96
BCBS
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.59
Typical High
$12.59
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$19.50
Typical High
$89.13
Medica
Setting
Facility
Modifier
Global
Typical Low
$15.85
Median
$87.10
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$12.88
Median
$26.92
Typical High
$91.20
Midlands
Setting
Professional
Modifier
Global
Typical Low
$20.42
Median
$22.91
Typical High
$33.88
Midlands
Setting
Professional
Modifier
Global
Typical Low
$19.50
Median
$24.55
Typical High
$33.88
United
Setting
Facility
Modifier
Global
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
United
Setting
Professional
Modifier
Global
Typical Low
$13.49
Median
$24.55
Typical High
$44.67