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Tennessee rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $100 · 10th–90th $15–$1000%50%10th$100Professionalmedian $13 · 10th–90th $5–$140%50%10th90th$13$1.0$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.49
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$15.14 / $16.98 / $21.88
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$79.43 / $79.43 / $79.43
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.48 / $1.48 / $1.48
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.45 / $1.95 / $2.75