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Michigan rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $22 · 10th–90th $12–$350%20%10th90th$22Professionalmedian $13 · 10th–90th $3–$130%20%40%10th90th$13$0.1$0.2$1.0$5.0$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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $22.39 / $35.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.18
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.89 / $0.89 / $0.95
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $15.14 / $15.14
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.32 / $12.88 / $35.48
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.71 / $12.02 / $13.49
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $15.14 / $15.14
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$2.14 / $2.14 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.14 / $3.55