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Utah rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.23 / $1.23 / $1.23
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.58 / $2.77
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.99 / $10.82 / $45.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.91 / $2.91 / $2.91
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.08 / $1.73 / $2.89