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New York rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.45 / $0.46 / $0.46
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.50 / $0.69
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.28 / $0.28 / $0.66
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
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.41 / $0.41 / $0.41
Excellus BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.40 / $0.40 / $0.40
Excellus BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.40 / $0.56 / $0.61
MVP Health Care
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.75 / $0.75 / $0.75
MVP Health Care
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.34 / $0.50 / $0.93
Univera
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.56
Univera
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.56 / $0.56 / $0.61