go back

South Carolina rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.02 / $12.88 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.49 / $85.11 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.49 / $13.49 / $13.49
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.37 / $13.18 / $19.95
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.35 / $2.00 / $3.02