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Connecticut rates for HCPCS A4802

Protamine Sulfate For Hemodialysis Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.03 / $25.05 / $47.94
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$18.97 / $20.07 / $23.00
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.40 / $13.32 / $13.32
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.59 / $64,999.35
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.57 / $2.41 / $3.95