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Nebraska rates for HCPCS A4928

Surgical mask, per 20

Facilitymedian $2 · 10th–90th $1$20%20%10th90th$2Professionalmedian $1 · 10th–90th $1$10%50%$1$0.5$1.0$2.0$5.0$10.0$20.0$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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.00 / $1.00 / $1.00
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.40 / $16.98 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $1.86 / $2.40
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
$69.18 / $69.18 / $83.18