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

Maine 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?

$69.18

Typical physician fee. In Maine, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $57.54 to $102.

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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $59 · 10th to 90th $59 to $59Professionalmedian $69 · 10th to 90th $48 to $141
$20.0$50.0$100.0$200.0facility $59professional $69

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. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$58.88
Median
$58.88
Typical High
$58.88
Aetna
Setting
Professional
Modifier
Global
Typical Low
$31.62
Median
$58.88
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$23.44
Median
$26.92
Typical High
$32.36
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$95.50
Typical High
$169.82
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$51.29
Median
$60.26
Typical High
$95.50
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$81.28
Typical High
$144.54

Where Maine 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.

Maine $69.18 · 18th 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.