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South Carolina rates for HCPCS A4930

Gloves Sterile Per Pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.37 / $0.52 / $0.64
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.92 / $0.92 / $1.18
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 / $1.19
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.74 / $8.00
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.00 / $8.00 / $8.00
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.00 / $30.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.40 / $0.57