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North Carolina rates for HCPCS 94626

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

Facilitymedian $69 · 10th–90th $26–$1260%10%10th90th$69Professionalmedian $72 · 10th–90th $23–$1620%5%10%10th90th$72$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
$26.30 / $70.79 / $190.55
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $61.66 / $95.50
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.44 / $102.33 / $213.80
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $42.66
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $79.43 / $154.88
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.92 / $60.26 / $120.23
Medcost
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $66.07 / $186.21
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $208.93
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$85.11 / $85.11 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.70 / $61.66 / $117.49
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $707.95 / $707.95