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Massachusetts rates for HCPCS 94626

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

Facilitymedian $30 · 10th–90th $14–$1820%5%10%10th90th$30Professionalmedian $68 · 10th–90th $26–$2090%10%10th90th$68$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
$25.70 / $77.62 / $83.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $61.66 / $97.72
AllWays Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $63.10 / $263.03
AllWays Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $79.43 / $213.80
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$29.51 / $66.07 / $223.87
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$109.65 / $109.65 / $109.65
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $83.18 / $186.21
Fallon Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.30 / $23.44 / $45.71
Fallon Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$56.23 / $102.33 / $181.97
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $81.28 / $263.03
Mass General Brigham
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $63.10 / $263.03
Mass General Brigham
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $79.43 / $213.80
Tufts
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $389.05
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$72.44 / $83.18 / $87.10
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $75.86 / $245.47