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Montana rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $6 · 10th–90th $5$170%20%40%10th90th$6Professionalmedian $13 · 10th–90th $12$150%50%10th90th$13$2.0$20.0$200.0$2.0K$20.0K$200.0K$2.0M

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
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$15.14
Cigna
Setting
Facility
Modifier
Global
Typical Low
$5.25
Median
$5.89
Typical High
$6.17
Cigna
Setting
Professional
Modifier
Global
Typical Low
$5.25
Median
$15.14
Typical High
$15.14
MountainHealth Co-op
Setting
Facility
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
MountainHealth Co-op
Setting
Professional
Modifier
Global
Typical Low
$5.75
Median
$5.75
Typical High
$5.75
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.17
Median
$12.88
Typical High
$21.38
Providence
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$8.32
Typical High
$79.43
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.19
Typical High
$2.19