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Illinois rates for HCPCS A4930

Gloves Sterile Per Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.59 / $0.59 / $0.59
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.46 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.94 / $7.84 / $33.17
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.00 / $2.00 / $2.00
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
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.02 / $1.88 / $2.97
Hally Health
Facility/Professional
Facility
Modifier
Low / Median / High Price
$100.00 / $100.00 / $100.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $2,500.00 / $2,500.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.44 / $0.72