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

Ohio 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.

Facilitymedian $76 · 10th–90th $50$810%20%40%10th90th$76Professionalmedian $65 · 10th–90th $46$1020%20%10th90th$65$0.0$0.1$0.5$2.0$10.0$50.0$200.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$81.28
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$67.61
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.03
Median
$26.92
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
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$87.10
Median
$87.10
Typical High
$87.10
Medical Mutual of Ohio
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$39.81
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86
United
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$54.95
Typical High
$60.26
United
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$64.57
Typical High
$114.82