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

Iowa 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?

$89.13

Typical negotiated rate. In Iowa, July 2026.

Insurers have agreed to pay about $89.13 for this service. The price depends on where it is billed: about $89.13 from a physician practice, and about $100 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 7 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$89.13$61.66 to $105
FacilityA hospital or hospital-owned outpatient department$100$67.61 to $126

How much rates vary

Facilitymedian $100 · 10th to 90th $56 to $195Professionalmedian $89 · 10th to 90th $48 to $126
$1.0$5.0$20.0$100.0facility $100professional $89

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
Facility
Modifier
Global
Typical Low
$125.89
Median
$125.89
Typical High
$125.89
Aetna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$89.13
Typical High
$125.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$91.20
Typical High
$141.25
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Medica
Setting
Facility
Modifier
Global
Typical Low
$54.95
Median
$100.00
Typical High
$194.98
Medica
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$100.00
Typical High
$363.08
Midlands
Setting
Professional
Modifier
Global
Typical Low
$69.18
Median
$91.20
Typical High
$141.25
Midlands
Setting
Professional
Modifier
Global
Typical Low
$128.82
Median
$151.36
Typical High
$218.78
United
Setting
Facility
Modifier
Global
Typical Low
$60.26
Median
$83.18
Typical High
$100.00
United
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$93.33
Typical High
$165.96
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.00
Median
$1.00
Typical High
$1.00

Where Iowa sits

The same service costs 1.9 times more in South Dakota than in Louisiana. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

Iowa $89.13 · 2nd of 51
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.