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Massachusetts rates for HCPCS 94625

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

Facilitymedian $29 · 10th–90th $10–$2000%5%10%10th90th$29Professionalmedian $54 · 10th–90th $17–$1700%5%10th90th$54$10.0$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
$18.20 / $74.13 / $199.53
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $51.29 / $85.11
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $63.10 / $239.88
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $69.18 / $194.98
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $45.71 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $69.18 / $165.96
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $15.85 / $30.90
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$45.71 / $81.28 / $147.91
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $61.66 / $213.80
Health New England
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$93.33 / $95.50 / $575.44
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $63.10 / $239.88
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $69.18 / $194.98
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $79.43 / $158.49
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $83.18 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $61.66 / $199.53