Tynbil: Know the *real* price for healthcare services

Mississippi 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

Insurance Carrier	Facility/Professional	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $68.81 / $68.81	Facility	$68.81	$68.81	$68.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.47 / $68.81 / $113.46	Professional	$43.47	$68.81	$113.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional	$45.92	$45.92	$45.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $17.00 / $25.00 / $50.00	Professional	$17.00	$25.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $70.80 / $109.54	Professional	$53.55	$70.80	$109.54