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Maine rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.50 / $0.52
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.34 / $0.34
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
Martin's Point
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.50 / $0.52
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.43 / $0.96