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Kentucky rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$12.88 / $18.20 / $26.92
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.85 / $15.85 / $15.85
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $3.09 / $4.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$85.11 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.17 / $13.49 / $72.44
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$44.67 / $44.67 / $3,019.95
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.95 / $3.02