THE MDPP BENEFICIARY ACHIEVED AT LEAST 5% WEIGHT LOSS (WL) FROM HIS/HER BASELINE WEIGHT IN MONTHS 1-12 OF THE MDPP SERVICES PERIOD UNDER THE MDPP EXPANDED MODEL (EM). THIS IS A ONE-TIME PAYMENT AVAILABLE WHEN A BENEFICIARY FIRST ACHIEVES AT LEAST 5% WEIG

Medical Mutual pricing summary

Low

$140

Average

$140

Median

$140

High

$140

Filter by billing methodology

Filter by billing class

2 hospital rates

#		Plans
1	St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · inpatientfrom % of charges	1	$108	$108	—	—	—	$108 – $108
2	St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · outpatientfrom % of charges	1	$173	$173	—	—	—	$173 – $173

← Payers reporting HCPCS G9880 · Snapshot 20261111T120946Z-9134e7f7

Low

$140

Average

$140

Median

$140

High

$140

Filter by billing methodology

Filter by billing class

2 hospital rates

#		Plans
1	St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · inpatientfrom % of charges	1	$108	$108	—	—	—	$108 – $108
2	St Mary Mercy Livonia Livonia, MI professional · percent of total billed charges · outpatientfrom % of charges	1	$173	$173	—	—	—	$173 – $173

← Payers reporting HCPCS G9880 · Snapshot 20261111T120946Z-9134e7f7