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South Dakota rates for HCPCS A4928

Surgical mask, per 20

Facilitymedian $2 · 10th–90th $1–$30%20%40%10th90th$2Professionalmedian $1 · 10th–90th $1–$10%50%$1$0.5$1.0$2.0$5.0$10.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. 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
$0.38 / $0.38 / $16.98
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.26 / $2.09 / $3.47
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Midlands
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.32 / $0.32 / $0.32
Wellmark
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.69 / $2.69 / $2.69