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South Dakota rates for HCPCS 94626

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

Facilitymedian $81 · 10th–90th $27–$3720%10%10th90th$81Professionalmedian $68 · 10th–90th $24–$1350%10%10th90th$68$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
$28.18 / $85.11 / $371.54
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$23.99 / $61.66 / $100.00
Avera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$21.88 / $21.88 / $26.30
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.90 / $66.07 / $186.21
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$24.55 / $69.18 / $144.54
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$66.07 / $123.03 / $467.74
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$37.15 / $100.00 / $194.98
Sanford Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $77.62 / $162.18
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$107.15 / $107.15 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$27.54 / $66.07 / $158.49
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$48.98 / $58.88 / $194.98