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Nebraska rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $12.78 / $13.74
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.85 / $3.00 / $3.02
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.05 / $5.90 / $13.58
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$11.50 / $15.98 / $23.64
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.97 / $55.93
Midlands
Facility/Professional
Facility
Modifier
Low / Median / High Price
$4.05 / $4.84 / $8.36
Midlands
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.08 / $5.68 / $8.34
Oscar Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.50 / $4.50 / $4.50
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.31 / $1.97 / $2.86