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Idaho rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.35 / $2.35 / $2.35
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.27 / $3.76
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
$2.27 / $3.06 / $4.76
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,500.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.63 / $1.72 / $2.29