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Ohio rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $32 · 10th–90th $16–$550%20%10th90th$32Professionalmedian $12 · 10th–90th $3–$150%20%10th90th$12$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
$17.38 / $31.62 / $54.95
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.80
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.22 / $16.22 / $29.51
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.09 / $3.80 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$16.98 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $17.78
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $15.85 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $15.85
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$33.11 / $50.12 / $60.26
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $17.78 / $36.31
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.00 / $3.02