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Montana rates for HCPCS A4930

Gloves Sterile Per Pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.50 / $0.70
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64,999.99 / $68,099.99 / $68,099.99
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.05 / $1.05 / $1.05
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.05 / $1.11 / $1.11
Providence
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.42 / $0.88 / $1.10
Providence
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $1.11 / $2,250,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.43 / $0.44