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Missouri rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $17 · 10th–90th $13–$520%20%10th90th$17Professionalmedian $13 · 10th–90th $4–$160%20%40%10th90th$13$2.0$5.0$10.0$20.0$50.0$100.0

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
$16.60 / $22.39 / $52.48
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $15.14
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $17.78
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$9.55 / $13.49 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $17.78 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.89 / $13.80 / $26.92
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.14 / $56.23
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.04 / $3.55