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Maine 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 $59–$3020%20%10th90th$115Professionalmedian $52 · 10th–90th $17–$1410%5%10%10th90th$52$5.0$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
$58.88 / $114.82 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $83.18
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $58.88 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $67.61 / $141.25
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $69.18 / $218.78
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $89.13
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $61.66 / $165.96