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Michigan rates for HCPCS 94626

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

Facilitymedian $89 · 10th–90th $32–$2040%10%20%10th90th$89Professionalmedian $58 · 10th–90th $25–$930%20%10th90th$58$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
$31.62 / $109.65 / $467.74
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $58.88 / $87.10
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
$38.02 / $38.02 / $38.02
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$38.02 / $38.02 / $51.29
CareSource
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $32.36 / $41.69
CareSource
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $97.72 / $123.03
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $74.13 / $144.54
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$31.62 / $89.13 / $204.17
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $70.79 / $120.23
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.30 / $64.57 / $120.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$60.26 / $69.18 / $165.96
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$26.92 / $64.57 / $109.65