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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
$12.78 / $12.78 / $27.17
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $13.58
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.71 / $15.71 / $15.72
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.09 / $4.80
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $85.00 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.12 / $13.58 / $13.58
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$45.00 / $45.00 / $3,000.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $1.89 / $3.01