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

Tennessee 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 $32 · 10th–90th $17$910%20%40%10th90th$32Professionalmedian $16 · 10th–90th $12$720%10%20%10th90th$16$10.0$20.0$50.0$100.0

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
$26.92
Median
$26.92
Typical High
$26.92
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$16.22
Typical High
$72.44
Cigna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$91.20
Typical High
$91.20
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$91.20
Median
$117.49
Typical High
$117.49
United
Setting
Facility
Modifier
Global
Typical Low
$15.14
Median
$20.89
Typical High
$33.11
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$16.60
Typical High
$28.18