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Wisconsin rates for HCPCS 94625

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

Facilitymedian $60 · 10th–90th $18–$2820%10%10th90th$60Professionalmedian $59 · 10th–90th $17–$2040%10%20%10th90th$59$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
$30.20 / $186.21 / $457.09
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $48.98 / $75.86
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$18.20 / $58.88 / $158.49
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.60 / $21.88 / $30.90
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$69.18 / $87.10 / $158.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$177.83 / $234.42 / $380.19
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $60.26 / $218.78
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $50.12 / $95.50
DeanCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$31.62 / $53.70 / $204.17
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $51.29 / $95.50
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$67.61 / $114.82 / $407.38
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$53.70 / $95.50 / $144.54
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $95.50 / $239.88
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$39.81 / $39.81 / $239.88
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $117.49 / $407.38
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.39 / $22.39 / $79.43
Security Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$41.69 / $93.33 / $380.19
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $85.11
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $165.96 / $302.00