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Arizona rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $15 · 10th–90th $5–$360%10%20%10th90th$15Professionalmedian $13 · 10th–90th $3–$150%20%40%10th90th$13$2.0$5.0$10.0$20.0$50.0$100.0

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
$16.98 / $29.51 / $50.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.72 / $18.20 / $36.31
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.47 / $14.45 / $21.88
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.49 / $22.39 / $39.81
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.47 / $13.18 / $17.38
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.19 / $56.23
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.70 / $1.70 / $1.70
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.19 / $3.80