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Iowa rates for HCPCS 94625

Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; without continuous oximetry monitoring (per session)

Facilitymedian $76 · 10th–90th $18–$1580%5%10th90th$76Professionalmedian $54 · 10th–90th $17–$1150%10%10th90th$54$20.0$50.0$100.0$200.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $79.43 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $52.48 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $67.61 / $177.83
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $107.15 / $208.93
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.78 / $58.88 / $109.65
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$63.10 / $114.82 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $93.33 / $177.83
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $89.13 / $177.83
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$173.78 / $173.78 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $87.10 / $120.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $66.07 / $169.82
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $173.78