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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
$1.85 / $1.85 / $2.52
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $6.00 / $7.50
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.06 / $3.14 / $5.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.73 / $22.96
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.24 / $4.36 / $6.14
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.65 / $4.36 / $6.68
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.06 / $1.46 / $2.89
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.50 / $6.50 / $6.50