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Nevada rates for HCPCS A4802

Protamine Sulfate For Hemodialysis Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 4270)

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.26 / $13.26 / $13.26
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.09 / $11.15 / $13.32
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.36 / $13.58 / $13.58
Hometown Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.26 / $15.98 / $400.00
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.33 / $2.17 / $3.81