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Florida rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $12.88 / $13.80
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Florida Blue
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.12 / $3.02 / $4.07
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.36 / $39.81 / $50.12
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$2.14 / $2.14 / $2.14
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.74 / $2.04 / $2.82
Wellpoint
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.18 / $13.18 / $13.18