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Texas rates for HCPCS 94626

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

Facilitymedian $74 · 10th–90th $26–$1480%10%20%10th90th$74Professionalmedian $59 · 10th–90th $23–$1050%10%20%10th90th$59$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
$25.70 / $67.61 / $251.19
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $57.54 / $93.33
Ambetter
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $77.62 / $79.43
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$20.89 / $61.66 / $104.71
Christus
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.99 / $46.77 / $102.33
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$42.66 / $56.23 / $56.23
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.84 / $72.44 / $131.83
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$263.03 / $263.03 / $263.03
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$562.34 / $707.95 / $707.95
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $61.66 / $144.54
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$25.12 / $60.26 / $138.04
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $33.11 / $33.11
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$165.96 / $194.98 / $208.93
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$25.12 / $61.66 / $144.54
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$28.18 / $72.44 / $144.54
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$23.44 / $74.13 / $107.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$24.55 / $58.88 / $112.20
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.50 / $104.71 / $117.49