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Missouri rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.78 / $16.78 / $21.73
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
$17.98 / $17.98 / $17.98
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.42 / $11.99 / $15.98
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $15.98
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $14.06 / $26.45
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.70 / $2.09 / $55.93
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.38 / $2.08 / $3.41