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

Oregon 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 $110 · 10th–90th $63$1120%20%40%10th90th$110Professionalmedian $79 · 10th–90th $48$1260%10%10th90th$79$50.0$100.0$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
Professional
Modifier
Global
Typical Low
$47.86
Median
$74.13
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$97.72
Median
$120.23
Typical High
$144.54
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$141.25
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$109.65
Providence
Setting
Facility
Modifier
Global
Typical Low
$50.12
Median
$83.18
Typical High
$141.25
Providence
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$109.65
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$87.10
Median
$117.49
Typical High
$158.49
United
Setting
Professional
Modifier
Global
Typical Low
$63.10
Median
$107.15
Typical High
$162.18