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Missouri rates for HCPCS 94625

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

Facilitymedian $83 · 10th–90th $20–$3550%5%10%10th90th$83Professionalmedian $52 · 10th–90th $17–$910%10%10th90th$52$5.0$20.0$100.0$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
$20.89 / $131.83 / $354.81
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $51.29 / $81.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1,318.26 / $1,412.54 / $1,479.11
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $51.29 / $83.18
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.38 / $79.43 / $117.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $28.84 / $28.84
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $60.26 / $114.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $53.70 / $112.20
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $91.20 / $407.38
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $309.03 / $380.19
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$17.78 / $51.29 / $104.71