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MDPP Core Maintenance, Months 7-9, 5% Weight Loss or More

Alaska rates for HCPCS G9878

Two Medicare Diabetes Prevention Program (MDPP) core maintenance sessions (MS) were attended by an MDPP beneficiary in months (mo) 7-9 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 achieved 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 7-9

Rates data updated July 2026.

How much does MDPP Core Maintenance, Months 7-9, 5% Weight Loss or More cost?

$79.43

Typical negotiated rate. In Alaska, July 2026.

Insurers have agreed to pay about $79.43 for this service. The price depends on where it is billed: about $79.43 from a physician practice, and about $79.43 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 6 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$79.43$51.29 to $105
FacilityA hospital or hospital-owned outpatient department$79.43$63.10 to $117

How much rates vary

Facilitymedian $79 · 10th to 90th $51 to $182Professionalmedian $79 · 10th to 90th $46 to $224
$50$100$200facility $79professional $79

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$69.18
Typical High
$104.71
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$158.49
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$79.43
Typical High
$79.43
Premera BCBS
Setting
Facility
Modifier
Global
Typical Low
$223.87
Median
$223.87
Typical High
$3,467.37
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$117.49
Median
$223.87
Typical High
$295.12
Providence
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$77.62
Typical High
$158.49
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$95.50
Typical High
$257.04

Where Alaska sits

The same service costs 1.9 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Alaska· 6th of 51

$79.43

SD $102LA $54.95

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.