go back

Oklahoma rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $6–$160%20%40%10th90th$13Professionalmedian $13 · 10th–90th $2–$150%20%40%10th90th$13$2.0$5.0$10.0$20.0$50.0$100.0

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
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $15.14
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$17.38 / $17.38 / $17.38
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $12.88 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $2.29 / $16.60
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.62 / $1.62 / $1.62
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.86 / $3.80