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

Kansas 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.

Facilitymedian $105 · 10th–90th $59$1660%20%10th90th$105Professionalmedian $85 · 10th–90th $48$1120%20%10th90th$85$1.0$10.0$100.0$1.0K$10.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$89.13
Median
$89.13
Typical High
$89.13
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$89.13
Typical High
$109.65
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$107.15
Typical High
$165.96
Medica
Setting
Professional
Modifier
Global
Typical Low
$57.54
Median
$81.28
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$72.44
Typical High
$112.20