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Minnesota rates for HCPCS A4802

Protamine Sulfate For Hemodialysis Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.98 / $15.98 / $15.98
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $15.98
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$1.00 / $11.37 / $11.37
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.36 / $11.03 / $11.37
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$6.90 / $10.11 / $28.73
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.79 / $4.76 / $13.58
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.96 / $9.48 / $22.63
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.75 / $3.75 / $4.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.80 / $15.98 / $15.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.17 / $55.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.04 / $3.96