Tynbil: Know the *real* price for healthcare services

Alabama 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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.14 / $74.40 / $123.69	Professional	$50.14	$74.40	$123.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.65 / $94.90 / $103.13	Facility	$81.65	$94.90	$103.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional	$45.92	$45.92	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $60.00 / $86.94	Professional	$44.10	$60.00	$86.94