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Illinois rates for HCPCS 94626

Physician or other qualified health care professional services for outpatient pulmonary rehabilitation; with continuous oximetry monitoring (per session)

Facilitymedian $112 · 10th–90th $37–$3020%20%10th90th$112Professionalmedian $66 · 10th–90th $26–$1450%20%10th90th$66$0.5$2.0$10.0$50.0$200.0

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
$37.15 / $158.49 / $302.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $60.26 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $104.71 / $131.83
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $72.44 / $144.54
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $75.86 / $144.54
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.88 / $131.83 / $407.38
Hally Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Hally Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $32.36 / $109.65
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $141.25
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $158.49 / $204.17
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $66.07 / $125.89