Tynbil: Know the *real* price for healthcare services

North Dakota 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 $63.00 / $63.00 / $63.00	Facility	$63.00	$63.00	$63.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.00 / $75.59 / $102.01	Professional	$63.00	$75.59	$102.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $112.87 / $141.91	Professional	$45.92	$112.87	$141.91
Medica Facility/Professional Facility Modifier Low / Median / High Price $63.00 / $95.79 / $171.70	Facility	$63.00	$95.79	$171.70
Medica Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $112.67 / $362.37	Professional	$60.00	$112.67	$362.37
United Facility/Professional Professional Modifier Low / Median / High Price $56.70 / $97.76 / $149.56	Professional	$56.70	$97.76	$149.56