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New Jersey rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $16.70
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Emblem Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.13 / $4.13 / $4.59
Horizon BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.78 / $3.27 / $3.43
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.15 / $2.45 / $4.42