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Surgical Mask

Iowa rates for HCPCS A4928

Surgical mask, per 20

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $0$20%50%10th90th$1Professionalmedian $1 · 10th–90th $1$20%50%90th$1$0.1$0.5$2.0$10.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Aetna
Setting
Professional
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$1.26
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$3.55
Typical High
$16.98
Hally Health
Setting
Professional
Modifier
Global
Typical Low
$8.91
Median
$9.55
Typical High
$12.30
Medica
Setting
Facility
Modifier
Global
Typical Low
$0.39
Median
$1.26
Typical High
$2.04
Medica
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$3.55
Typical High
$22.91
Midlands
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Midlands
Setting
Professional
Modifier
Global
Typical Low
$0.31
Median
$0.31
Typical High
$3.63
Wellmark
Setting
Professional
Modifier
Global
Typical Low
$1.86
Median
$2.40
Typical High
$2.40