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Connecticut rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $26.30 / $47.86
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $13.49
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.50 / $22.91 / $22.91
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.37 / $11.48 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
ConnectiCare
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $4.57 / $64,565.42
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.62 / $2.40 / $3.98