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Oregon rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $2.12 / $2.61
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.84 / $5.68 / $7.48
Moda Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.13 / $3.63 / $6.48
Moda Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $10.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $5.36 / $11.90
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $3.65 / $6.80
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $2,250,000.00 / $2,400,000.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.37 / $5.94 / $7.40
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.73 / $2.87