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South Carolina rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $5$190%20%10th90th$13Professionalmedian $13 · 10th–90th $3$130%50%10th90th$13$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
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.18
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$26.30 / $28.84 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.37 / $13.18 / $19.05
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$30.20 / $30.20 / $30.20
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.74 / $2.00 / $3.02