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Washington rates for HCPCS A4927

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.27 / $2.27 / $5.15
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.13 / $2.78
Asuris Northwest Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$75.00 / $90.00 / $90.00
Asuris Northwest Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.01 / $10.80 / $23.33
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.53 / $3.53 / $3.53
Kaiser Permanente
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.79 / $4.48 / $6.86
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.52 / $4.41 / $7.04
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.60 / $13.76 / $22.36
Pacific Source
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.40 / $5.28 / $11.90
Pacific Source
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.90 / $11.90 / $11.90
Premera BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.76 / $6.06 / $7.50
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.41 / $5.63 / $8.10
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.15 / $1.73 / $2.89
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.61 / $3.61 / $3.61