go back

Minnesota rates for HCPCS A4928

Surgical mask, per 20

Facilitymedian $1 · 10th–90th $1–$20%10%20%10th90th$1Professionalmedian $1 · 10th–90th $0–$10%20%40%10th90th$1$0.5$1.0$2.0$5.0$10.0$20.0

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
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.52 / $0.52 / $0.52
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.42 / $0.52 / $0.52
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.20 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.47 / $16.98
Health Partners
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.71 / $1.20 / $2.34
Health Partners
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.38 / $0.38 / $0.45
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.26 / $2.09
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$22.91 / $22.91 / $22.91
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.52 / $2.24 / $5.50