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Louisiana rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.44 / $0.44 / $0.44
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.52 / $0.62
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.47 / $0.53 / $0.55
Christus
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.00 / $4.00 / $4.00
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
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.38 / $0.66