go back

Nebraska 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
$2.82 / $3.02 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.07 / $7.76 / $13.49
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.75 / $15.85 / $24.55
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $2.19 / $56.23
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.79 / $5.50 / $8.32
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.57 / $5.89 / $7.76
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.32 / $1.95 / $3.39