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South Carolina rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.47 / $2.06 / $2.57
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.00 / $5.00 / $6.31
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 / $4.96
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.93 / $2.67 / $5.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $5.00 / $5.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.85 / $30.00 / $1,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.36 / $1.58 / $2.29