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Utah rates for HCPCS A4927

Gloves, nonsterile, per 100

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $1.00 / $1.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $2.00 / $2.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $3.55 / $3.55
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.46 / $10.72 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.88 / $2.88 / $2.88
Select Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.62 / $5.62 / $6.76
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.47 / $8.32 / $8.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.07 / $1.74 / $2.88