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

Missouri 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?

$67.61

Typical physician fee. In Missouri, July 2026.

Insurers have agreed to pay about $67.61 for this service. Most negotiated rates run $51.29 to $95.50.

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 5 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $107 · 10th to 90th $58 to $234Professionalmedian $68 · 10th to 90th $45 to $105
$50$100$200facility $107professional $68

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
Professional
Modifier
Global
Typical Low
$44.67
Median
$67.61
Typical High
$104.71
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$56.23
Typical High
$66.07
Cigna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Medica
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$107.15
Typical High
$234.42
Medica
Setting
Professional
Modifier
Global
Typical Low
$53.70
Median
$77.62
Typical High
$363.08
United
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$69.18
Typical High
$120.23

Where Missouri sits

The same service costs 1.9 times more in South Dakota than in Louisiana. 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.

Missouri· 22nd of 51

$67.61

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.