Tynbil: Know the *real* price for healthcare services

Oklahoma 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 Professional Modifier Low / Median / High Price $45.29 / $89.89 / $112.53	Professional	$45.29	$89.89	$112.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.92 / $45.92 / $45.92	Professional	$45.92	$45.92	$45.92
Medica Facility/Professional Facility Modifier Low / Median / High Price $75.00 / $112.53 / $138.41	Facility	$75.00	$112.53	$138.41
Medica Facility/Professional Professional Modifier Low / Median / High Price $52.01 / $66.16 / $362.37	Professional	$52.01	$66.16	$362.37
United Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $66.00 / $121.20	Professional	$50.40	$66.00	$121.20