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Texas rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $4$200%20%10th90th$13Professionalmedian $13 · 10th–90th $5$150%50%10th90th$13$0.1$1.0$20.0$500.0$10.0K$200.0K

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
Setting
Facility
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$13.18
Aetna
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$13.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$10.00
Median
$38.02
Typical High
$102.33
Cigna
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$79.43
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$13.18
Typical High
$19.05
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$12.02
Median
$12.88
Typical High
$14.45
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Oscar Health
Setting
Professional
Modifier
Global
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.37
Median
$13.18
Typical High
$19.05
Providence
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
United
Setting
Facility
Modifier
Global
Typical Low
$1.82
Median
$1.82
Typical High
$1.82
United
Setting
Professional
Modifier
Global
Typical Low
$1.78
Median
$2.14
Typical High
$3.80
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$13.18
Median
$13.18
Typical High
$16.60