Tynbil: Know the *real* price for healthcare services

Vermont 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 $16.98 / $16.98 / $16.98	Facility	$16.98	$16.98	$16.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $10.96 / $16.98 / $75.86	Professional	$10.96	$16.98	$75.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.48 / $11.48 / $89.13	Professional	$11.48	$11.48	$89.13
United Facility/Professional Professional Modifier Low / Median / High Price $13.49 / $19.50 / $37.15	Professional	$13.49	$19.50	$37.15