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

Texas 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 $33 · 10th–90th $13$950%10%10th90th$33Professionalmedian $42 · 10th–90th $11$760%20%10th90th$42$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$38.90
Median
$38.90
Typical High
$56.23
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.48
Median
$51.29
Typical High
$75.86
Christus
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
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
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.70
Typical High
$97.72
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.95
Typical High
$60.26
Molina
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Providence
Setting
Facility
Modifier
Global
Typical Low
$12.59
Median
$25.12
Typical High
$97.72
Providence
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
United
Setting
Facility
Modifier
Global
Typical Low
$11.22
Median
$13.49
Typical High
$20.89
United
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$15.85
Typical High
$25.70
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$75.86
Typical High
$102.33