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

Arizona 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 October 2026.

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

$57.54

Typical physician fee. In Arizona, October 2026.

Insurers have agreed to pay about $57.54 for this service. Most negotiated rates run $47.86 to $67.61.

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 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $52 · 10th to 90th $46 to $107Professionalmedian $58 · 10th to 90th $46 to $363
$50$100$200facility $52professional $58

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$45.71
Median
$45.71
Typical High
$54.95
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$22.91
Median
$22.91
Typical High
$27.54
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$9.12
Median
$9.12
Typical High
$10.96
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.76
Median
$6.76
Typical High
$8.13
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.57
Median
$4.57
Typical High
$5.50
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
None
Typical Low
$45.71
Median
$52.48
Typical High
$107.15
Medica
Setting
Professional
Modifier
None
Typical Low
$53.70
Median
$66.07
Typical High
$363.08
United
Setting
Professional
Modifier
None
Typical Low
$52.48
Median
$57.54
Typical High
$75.86

Where Arizona sits

The same service costs 3.0 times more in Alaska than in Connecticut. 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.

Arizona· 36th of 51

$57.54

AK $138CT $46.77

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.