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Michigan rates for HCPCS A4930

Gloves Sterile Per Pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.49 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.49 / $0.65
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.90 / $2.41 / $4.94
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.86 / $0.95 / $1.12
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.80 / $1.11 / $1.11
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.49 / $0.66 / $0.71
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.66 / $0.85
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.59 / $0.88 / $55.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.70