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Iowa 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
$22.37 / $27.87 / $27.87
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $13.58 / $13.58
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.78 / $4.96 / $6.38
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.84 / $12.78 / $21.09
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.92 / $2.17 / $55.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.84 / $7.67
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $5.68 / $7.67
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.80 / $1.96 / $3.29