Tynbil: Know the *real* price for healthcare services

Arkansas 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 Facility Modifier Low / Median / High Price $60.00 / $60.00 / $84.92	Facility	$60.00	$60.00	$84.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $60.00 / $107.06	Professional	$43.47	$60.00	$107.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.86 / $45.92 / $45.92	Professional	$28.86	$45.92	$45.92
United Facility/Professional Professional Modifier Low / Median / High Price $54.00 / $71.29 / $114.05	Professional	$54.00	$71.29	$114.05