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

Louisiana 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?

$47.86

Typical physician fee. In Louisiana, October 2026.

Insurers have agreed to pay about $47.86 for this service. Most negotiated rates run $47.86 to $56.23.

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 $0 · 10th to 90th $0 to $0Professionalmedian $48 · 10th to 90th $44 to $66
$0.1$1$10$100facility $0professional $48

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
Facility
Modifier
None
Typical Low
$43.65
Median
$43.65
Typical High
$47.86
Aetna
Setting
Professional
Modifier
None
Typical Low
$43.65
Median
$44.67
Typical High
$51.29
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$21.88
Median
$22.39
Typical High
$25.70
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$8.71
Median
$8.91
Typical High
$10.23
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$6.46
Median
$6.76
Typical High
$7.59
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$4.37
Median
$4.47
Typical High
$5.13
BCBS Louisiana
Setting
Facility
Modifier
None
Typical Low
$0.02
Median
$0.02
Typical High
$0.03
Cigna
Setting
Professional
Modifier
None
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
United
Setting
Professional
Modifier
None
Typical Low
$46.77
Median
$58.88
Typical High
$95.50

Where Louisiana 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.

Louisiana· 50th of 51

$47.86

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.