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

Utah 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 $19 · 10th–90th $19$190%50%100%$19Professionalmedian $19 · 10th–90th $11$760%10%10th90th$19$10.0$50.0$200.0$1.0K$5.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample; interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$19.05
Median
$19.05
Typical High
$19.05
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$19.05
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.02
Typical High
$12.02
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$54.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$13.80
Median
$18.20
Typical High
$23.99
Select Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$91.20
Typical High
$95.50
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$15.49
Median
$19.50
Typical High
$20.42
United
Setting
Professional
Modifier
Global
Typical Low
$12.59
Median
$16.22
Typical High
$25.70