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Idaho rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $4$170%20%10th90th$13Professionalmedian $13 · 10th–90th $7$150%50%10th90th$13$2.0$5.0$10.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$13.49
Median
$13.49
Typical High
$13.49
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$15.14
BCBS
Setting
Facility
Modifier
Global
Typical Low
$7.08
Median
$7.08
Typical High
$7.24
BCBS
Setting
Professional
Modifier
Global
Typical Low
$6.76
Median
$6.76
Typical High
$6.76
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.47
Median
$13.18
Typical High
$17.38
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$22.91
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Regence BlueShield
Setting
Professional
Modifier
Global
Typical Low
$3.63
Median
$3.63
Typical High
$3.63
Select Health
Setting
Professional
Modifier
Global
Typical Low
$6.31
Median
$7.08
Typical High
$10.47
United
Setting
Professional
Modifier
Global
Typical Low
$1.45
Median
$2.04
Typical High
$2.19