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Michigan rates for HCPCS A4927

Gloves, nonsterile, per 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Ambetter
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.40 / $2.51
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.24
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.24 / $7.24 / $7.59
CareSource
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.16 / $3.16 / $3.16
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $5.01
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $2.63 / $6.92
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $3.39
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $4.37
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.74 / $1.74 / $4.47
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.66 / $3.02