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

New Hampshire 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 New Hampshire, July 2026.

Insurers have agreed to pay about $69.18 for this service. Most negotiated rates run $52.48 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 6 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $58 · 10th to 90th $58 to $4,365Professionalmedian $69 · 10th to 90th $27 to $129
$50$100$200$500$1K$2K$5Kfacility $58professional $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. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$57.54
Median
$57.54
Typical High
$57.54
Aetna
Setting
Professional
Modifier
Global
Typical Low
$46.77
Median
$58.88
Typical High
$95.50
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$26.92
Typical High
$26.92
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$87.10
Typical High
$144.54
United
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$85.11
Typical High
$154.88
Well Sense
Setting
Facility
Modifier
Global
Typical Low
$3,630.78
Median
$3,981.07
Typical High
$4,897.79

Where New Hampshire 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.

New Hampshire· 12th of 51

$69.18

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.