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New York rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $16 · 10th–90th $7–$320%20%10th90th$16Professionalmedian $13 · 10th–90th $3–$150%20%10th90th$13$1.0$2.0$5.0$10.0$20.0$50.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $16.22 / $32.36
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.80
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$14.79 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.23 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Emblem Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $4.90 / $4.90
Excellus BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.61 / $7.94
Excellus BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $6.76
MVP Health Care
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.31 / $3.89 / $7.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.63 / $4.90
Univera
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $7.94
Univera
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $6.76 / $6.76