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Alaska rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $5–$220%20%10th90th$13Professionalmedian $13 · 10th–90th $11–$150%20%40%10th90th$13$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$75.86 / $75.86 / $75.86
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $13.18 / $22.39
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $26.92
Premera BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $19.05 / $19.05
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $13.18 / $22.39
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.94 / $15.14 / $15.14
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $5.62