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Oklahoma rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.10 / $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
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$9.99 / $12.94 / $15.98
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $2.31 / $16.73
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.44 / $1.88 / $3.81