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New York rates for HCPCS 94625

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

Facilitymedian $71 · 10th–90th $19$2090%10%10th90th$71Professionalmedian $66 · 10th–90th $18$1550%5%10%10th90th$66$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
$19.50 / $75.86 / $229.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $87.10
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $14.45
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$52.48 / $61.66 / $102.33
CDPHP
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $26.30
CDPHP
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $26.30 / $91.20
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
$21.38 / $74.13 / $186.21
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $21.38 / $85.11
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$95.50 / $123.03 / $181.97
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $3.89 / $70.79
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $83.18 / $154.88
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $72.44 / $72.44
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $93.33 / $173.78
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.50 / $66.07 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $117.49 / $398.11
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.89 / $10.00 / $43.65
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$51.29 / $81.28 / $131.83