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North Dakota rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$16.22 / $16.22 / $16.22
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $15.14
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$10.47 / $14.13 / $15.49
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.72 / $4.68 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.47 / $12.88 / $17.38
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.82 / $2.19 / $56.23
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.00 / $3.98