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Texas rates for HCPCS 94625

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

Facilitymedian $63 · 10th–90th $18$1170%20%10th90th$63Professionalmedian $51 · 10th–90th $15$930%10%20%10th90th$51$0.2$1.0$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
$22.91 / $123.03 / $288.40
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.60 / $48.98 / $79.43
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $14.45 / $16.22
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $63.10 / $63.10
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.45 / $56.23 / $95.50
Baylor Scott & White
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $21.88 / $38.90
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $81.28 / $81.28
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$28.84 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $60.26 / $114.82
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$239.88 / $239.88 / $239.88
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$457.09 / $645.65 / $645.65
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $117.49
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $112.20
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$131.83 / $169.82 / $173.78
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $50.12 / $120.23
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $60.26 / $125.89
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $64.57 / $93.33
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$16.98 / $50.12 / $100.00
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $83.18 / $95.50