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Surgical Mask

Minnesota rates for HCPCS A4928

Surgical mask, per 20

Rates data updated July 2026.

Facilitymedian $1 · 10th–90th $1$30%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
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
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.52
Median
$0.52
Typical High
$0.52
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.42
Median
$0.52
Typical High
$0.52
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.71
Median
$1.20
Typical High
$3.39
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.47
Typical High
$16.98
Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.79
Median
$1.35
Typical High
$2.63
Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.38
Median
$0.38
Typical High
$0.51
Medica
Setting
Facility
Modifier
Global
Typical Low
$1.26
Median
$1.26
Typical High
$2.09
Medica
Setting
Professional
Modifier
Global
Typical Low
$22.91
Median
$22.91
Typical High
$22.91
United
Setting
Professional
Modifier
Global
Typical Low
$0.52
Median
$2.24
Typical High
$8.51