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Hawaii rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.15 / $4.15 / $4.15
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.98 / $13.58 / $13.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$670.00 / $670.00 / $670.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.17 / $6.35