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Illinois rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.36 / $2.36 / $2.36
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.84 / $2.57
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$27.20 / $35.39 / $62.72
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.60 / $16.00 / $16.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.64 / $3.64 / $3.64
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.89
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $15.81 / $24.70
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.78 / $30.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.78 / $3.26