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

Utah 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 $76$760%50%100%$76Professionalmedian $69 · 10th–90th $47$1000%10%10th90th$69$50.0$100.0$200.0$500.0$1.0K$2.0K$5.0K

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$75.86
Median
$75.86
Typical High
$75.86
Aetna
Setting
Professional
Modifier
Global
Typical Low
$45.71
Median
$74.13
Typical High
$100.00
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$47.86
Typical High
$47.86
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$54.95
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$72.44
Typical High
$95.50
Select Health
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$120.23
Typical High
$125.89
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$77.62
Typical High
$81.28
United
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$66.07
Typical High
$104.71