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Maine rates for HCPCS 94626

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

Facilitymedian $27 · 10th–90th $27–$760%20%40%90th$27Professionalmedian $68 · 10th–90th $26–$1780%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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $26.92 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $64.57 / $95.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $67.61 / $141.25
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $77.62 / $162.18
Harvard Pilgrim
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $95.50 / $275.42
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $61.66 / $95.50
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $72.44 / $208.93