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

Washington 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 $83 · 10th–90th $52$1290%10%10th90th$83Professionalmedian $76 · 10th–90th $47$1230%10%10th90th$76$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
Facility
Modifier
Global
Typical Low
$46.77
Median
$46.77
Typical High
$46.77
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$64.57
Typical High
$97.72
Asuris Northwest Health
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$102.33
Typical High
$141.25
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
Kaiser Permanente
Setting
Facility
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$134.90
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$52.48
Median
$77.62
Typical High
$128.82
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$50.12
Typical High
$79.43
Pacific Source
Setting
Facility
Modifier
Global
Typical Low
$91.20
Median
$109.65
Typical High
$109.65
Premera BCBS
Setting
Professional
Modifier
Global
Typical Low
$75.86
Median
$87.10
Typical High
$147.91
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$74.13
Median
$97.72
Typical High
$141.25
United
Setting
Facility
Modifier
Global
Typical Low
$38.90
Median
$38.90
Typical High
$38.90
United
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$87.10
Typical High
$147.91
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$26.92
Median
$100.00
Typical High
$141.25