Diabetes prevention maintenance sessions, months 10-12, no weight loss

Hospitals report these codes with terse, inconsistent chargemaster text. This plain-English title was written by an AI model from that text and has not been reviewed by a person, so it can be wrong. The prices on this page come straight from hospital filings and do not depend on it.

Model: claude-sonnet-5-5
Provider: anthropic
API: message_batches
Reasoning effort: model default
Max output tokens: 4096
Prompt version (hash): 444523875572
Generated: October 20, 2026

Original text from hospital filings

2 EM core MS mo 10-12 no WL

Payers reporting HCPCS G9877

Payer pricing summary

Low

Average

$46

Median

$37

High

$260

Payer rate distribution

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#
1	Humana fee schedule · outpatient · +13 other terms	51	$107	$134	$59	44%	—	$15 – $288
2	UnitedHealthcare fee schedule · outpatient · +14 other terms	51	$257	$199	$184	93%	—	$15 – $791
3	Aetna fee schedule · outpatient · +14 other terms	22	$51	$84	$133	159%	—	$14 – $664
4	Cigna fee schedule · both · +10 other terms	14	$33	$41	$23	54%	—	$33 – $107
5	Molina facility · case rate · outpatient · +11 other terms	14	$43	$46	$11	24%	—	$36 – $83
6	Blue Cross Blue Shield facility · fee schedule · outpatient · +9 other terms	13	$15	$18	$13	71%	—	$12 – $62
7	Bcbs Mn fee schedule · outpatient · +3 other terms	12	$48	$36	$20	57%	—	$15 – $60
8	Highmark fee schedule · outpatient · +5 other terms	10	$17	$17	$0	2%	—	$15 – $17
9	Medica fee schedule · outpatient · +5 other terms	10	$29	$29	$7	26%	—	$17 – $37
10	Ambetter other · outpatient · +3 other terms	8	$152	$151	$9	6%	—	$119 – $161
11	Anthem other · outpatient · +6 other terms	8	$79	$79	—	—	—	$79 – $79
12	First Health professional · fee schedule · both · +5 other terms	8	$0	$28	$36	129%	—	$0 – $74
13	WellCare professional · fee schedule · both · +3 other terms	8	$0	$0	—	—	—	$0 – $0
14	Aetna Better Health fee schedule · inpatient · +5 other terms	7	$78	$78	—	—	—	$78 – $78
15	Amerihealth Caritas facility · case rate · outpatient · +1 other terms	7	$40	$40	$1	3%	—	$40 – $43
16	Bcbs Il professional · fee schedule · both · +2 other terms	7	$0	$0	—	—	—	$0 – $0
17	Caresource other · outpatient · +2 other terms	6	$142	$145	$6	4%	—	$142 – $158
18	MultiPlan professional · fee schedule · both · +4 other terms	3	$0	$8	$11	141%	—	$0 – $22
19	Phcs professional · fee schedule · both · +2 other terms	3	$0	$8	$11	141%	—	$0 – $22
20	Wellmark facility · case rate · outpatient	3	$140	$123	$39	32%	—	$57 – $155
21	Clover facility · other · outpatient	2	$100	$100	$55	55%	—	$45 – $155
22	Medicaid facility · case rate · outpatient · +1 other terms	2	$36	$36	—	—	—	$36 – $36
23	Optum facility · case rate · outpatient · +2 other terms	2	$34	$34	—	—	—	$34 – $34
24	Oscar facility · other · outpatient · +1 other terms	2	$100	$100	$55	55%	—	$45 – $155
25	Tricare facility · fee schedule · outpatient · +3 other terms	2	$100	$100	$55	55%	—	$45 – $155

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