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South Dakota rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.46 / $0.46 / $0.63
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.98 / $1.12 / $1.41
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.52 / $0.79 / $1.29
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.36 / $0.43 / $5.30
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.81 / $1.10 / $1.53
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.81 / $1.10 / $1.38
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.40 / $0.72
Wellmark
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.50 / $0.50 / $0.50