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Illinois rates for HCPCS 94625

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

Facilitymedian $115 · 10th–90th $23–$2750%10%20%10th90th$115Professionalmedian $52 · 10th–90th $17–$1320%10%10th90th$52$0.2$1.0$5.0$20.0$100.0$500.0$2.0K

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
$23.44 / $117.49 / $275.42
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $51.29 / $77.62
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$36.31 / $91.20 / $117.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $66.07 / $131.83
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.42 / $60.26 / $125.89
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $123.03 / $208.93
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $22.39 / $102.33
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $112.20
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $158.49 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $66.07 / $144.54