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Wisconsin 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
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.69 / $3.98 / $9.33
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$14.45 / $16.98 / $26.92
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $4.90 / $7.08
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.19 / $2.95
DeanCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $10.96 / $25.70
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.51 / $2.19 / $5.37
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.58 / $1.74 / $22.91
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$7.59 / $50.12 / $70.79
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.47 / $5.89 / $8.71
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $89.13
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.55 / $7.08 / $23.99
Security Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $4.90 / $8.51
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.10 / $1.62 / $3.16