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Alaska rates for HCPCS A4927

Gloves Non-Sterile Per 100 (Updated 01-01-2003)

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.65 / $2.57 / $2.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.98 / $8.64
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.66 / $2.66 / $3.80
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.40 / $10.00 / $15.20
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $2.98 / $8.64
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $8.48 / $15.64
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.94 / $6.87