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Arizona rates for HCPCS A4928

Surgical mask, per 20

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.25 / $1.25 / $1.25
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.10 / $3.56 / $3.56
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.10 / $6.98 / $8.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$17.00 / $17.00 / $17.00
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.25 / $1.25 / $2.15
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.96 / $22.96 / $22.96