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 $17.70 / $17.70 / $17.70	Facility	$17.70	$17.70	$17.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.90 / $17.70 / $42.56	Professional	$12.90	$17.70	$42.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $11.55	Professional	$11.55	$11.55	$11.55
MVP Health Care Facility/Professional Professional Modifier Low / Median / High Price $11.55 / $11.55 / $19.20	Professional	$11.55	$11.55	$19.20
United Facility/Professional Professional Modifier Low / Median / High Price $15.00 / $21.00 / $175.89	Professional	$15.00	$21.00	$175.89