go back

Arkansas rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$149,999.85 / $399,999.60 / $999,999.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.94 / $5.22 / $5.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $13.58 / $13.58
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.24 / $1.86 / $3.58