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Montana rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.50 / $1.98 / $2.78
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.21 / $4.21 / $4.21
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $4.21
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.66 / $3.54 / $5.05
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $4.21 / $2,400,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.55 / $1.73 / $1.73