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Iowa rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $22.91 / $25.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $13.49 / $13.49
Hally Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.68 / $4.90 / $6.31
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.17 / $12.88 / $20.89
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.19 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $5.37 / $7.59
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$6.17 / $6.61 / $6.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $1.95 / $3.24