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South Dakota rates for HCPCS 94625

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

Facilitymedian $132 · 10th–90th $17–$4570%20%10th90th$132Professionalmedian $52 · 10th–90th $17–$1200%10%10th90th$52$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
$16.98 / $144.54 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $52.48 / $77.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$21.38 / $54.95 / $169.82
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $58.88 / $125.89
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$58.88 / $109.65 / $407.38
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $89.13 / $177.83
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $58.88 / $151.36
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$87.10 / $87.10 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $57.54 / $144.54
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $40.74 / $177.83