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Mississippi rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$8.51 / $8.51 / $8.51
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.95 / $25.12 / $67.61
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.45 / $1.86 / $3.63