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South Dakota rates for HCPCS A4927

Gloves, nonsterile, per 100

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $2.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $6.03 / $7.59
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.86 / $3.16 / $5.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.58 / $22.91
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.89 / $4.37 / $6.17
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.74 / $2.88
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $6.46 / $6.46