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

Wisconsin 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 $95 · 10th–90th $51$1550%10%20%10th90th$95Professionalmedian $89 · 10th–90th $48$1410%10%10th90th$89$1.0$5.0$20.0$100.0$500.0

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
$95.50
Median
$95.50
Typical High
$95.50
Aetna
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$85.11
Typical High
$102.33
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$83.18
Typical High
$181.97
Cigna
Setting
Facility
Modifier
Global
Typical Low
$239.88
Median
$316.23
Typical High
$457.09
Cigna
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$104.71
Typical High
$141.25
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$144.54
Medica
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$93.33
Typical High
$147.91
Medica
Setting
Professional
Modifier
Global
Typical Low
$58.88
Median
$97.72
Typical High
$363.08
Molina
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$58.88
Typical High
$70.79
Network Health
Setting
Professional
Modifier
Global
Typical Low
$141.25
Median
$141.25
Typical High
$141.25
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$51.29
Median
$95.50
Typical High
$144.54
Quartz
Setting
Professional
Modifier
Global
Typical Low
$61.66
Median
$123.03
Typical High
$181.97
Quartz
Setting
Facility
Modifier
Global
Typical Low
$109.65
Median
$109.65
Typical High
$363.08
Quartz
Setting
Professional
Modifier
Global
Typical Low
$47.86
Median
$288.40
Typical High
$363.08
United
Setting
Facility
Modifier
Global
Typical Low
$72.44
Median
$72.44
Typical High
$72.44
United
Setting
Professional
Modifier
Global
Typical Low
$56.23
Median
$83.18
Typical High
$186.21