Tynbil: Know the *real* price for healthcare services

Washington, DC 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 $51.60 / $95.95 / $95.95	Professional	$51.60	$95.95	$95.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $118.46	Professional	$45.92	$45.92	$118.46
Kaiser Permanente Facility/Professional Professional Modifier Low / Median / High Price $61.17 / $70.83 / $132.49	Professional	$61.17	$70.83	$132.49
United Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $63.00 / $162.03	Professional	$44.10	$63.00	$162.03