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Arkansas rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.85
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$151,356.12 / $1,000,000.00 / $1,000,000.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $3.98 / $5.25
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.77 / $13.49 / $13.49
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.23 / $1.86 / $3.55