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Minnesota rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$15.14 / $15.14 / $15.14
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.48 / $11.48 / $11.48
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.12 / $11.48 / $11.48
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.08 / $12.02 / $30.20
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.80 / $4.79 / $13.49
Health Partners
Facility/Professional
Facility
Modifier
Low / Median / High Price
$7.94 / $12.02 / $23.44
Health Partners
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $3.72 / $5.13
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.68 / $15.85 / $15.85
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.19 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $2.19 / $4.47