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Idaho rates for HCPCS A4927

Gloves, nonsterile, per 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.45 / $2.45 / $2.45
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.45
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.98 / $3.98 / $4.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $3.47 / $3.47
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.82 / $3.09 / $5.25
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $5.62 / $5.62
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.62 / $2.04