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

Washington 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 $20 · 10th–90th $13$320%10%10th90th$20Professionalmedian $19 · 10th–90th $11$710%10%10th90th$19$10.0$20.0$50.0$100.0$200.0

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
$11.22
Median
$11.22
Typical High
$11.22
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.22
Median
$16.22
Typical High
$72.44
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$25.70
Typical High
$35.48
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$33.11
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$19.50
Typical High
$32.36
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$22.91
Median
$27.54
Typical High
$27.54
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$19.05
Median
$21.88
Typical High
$37.15
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$18.62
Median
$24.55
Typical High
$35.48
United
Setting
Facility
Modifier
Global
Typical Low
$9.77
Median
$9.77
Typical High
$9.77
United
Setting
Professional
Modifier
Global
Typical Low
$14.45
Median
$21.38
Typical High
$38.02
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$75.86
Typical High
$107.15