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Utah rates for HCPCS A4930

Gloves, sterile, per pair

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.31 / $0.31 / $0.31
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.31 / $0.39 / $0.69
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.11 / $1.11 / $1.11
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.32 / $0.37 / $45.00
Regence BlueShield
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.73 / $0.73 / $0.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.27 / $0.43 / $0.72