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North Carolina rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $5–$170%20%10th90th$13Professionalmedian $13 · 10th–90th $9–$170%20%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
$10.00 / $13.49 / $13.49
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $12.88 / $13.49
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $15.49 / $16.98
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $16.98 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.85
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$4.90 / $12.88 / $17.38
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.35 / $2.04 / $2.95
Wellcare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Wellcare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43