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Pennsylvania rates for HCPCS 94626

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

Facilitymedian $93 · 10th–90th $28$3090%20%10th90th$93Professionalmedian $65 · 10th–90th $25$1070%20%10th90th$65$10.0$50.0$200.0$1.0K$5.0K$20.0K

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
$28.18 / $93.33 / $309.03
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $58.88 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
AmeriHealth
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$53.70 / $97.72 / $660.69
Capital Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8,511.38 / $8,511.38 / $77,624.71
Capital Blue Cross
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$72.44 / $85.11 / $112.20
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $42.66 / $165.96
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $75.86 / $134.90
Emblem Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$54.95 / $54.95 / $54.95
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$123.03 / $169.82 / $223.87
Geisinger
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$61.66 / $112.20 / $177.83
Highmark BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$169.82 / $208.93 / $208.93
Highmark BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$29.51 / $29.51 / $29.51
Independence Blue Cross
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$40.74 / $97.72 / $660.69
Martin's Point
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $69.18 / $125.89
Martin's Point
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $58.88 / $91.20
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $208.93
UPMC Health Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $26.30 / $79.43
UPMC Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.72 / $26.92 / $75.86
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$77.62 / $107.15 / $154.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $64.57 / $123.03