go back

California rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.46 / $0.65
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.30 / $0.30 / $1.37
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.10 / $0.28 / $0.40
Blue Shield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.91 / $1.38 / $2.36
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.00 / $1.00 / $283.26
Lucent Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.29 / $90.00 / $90.00
Lucent Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.30 / $5.52 / $5.63
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $60.00 / $85.00
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.38 / $0.90 / $1.26
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.32
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.86