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Utah rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $13–$130%50%100%$13Professionalmedian $13 · 10th–90th $9–$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.49
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.14 / $15.14 / $15.14
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.50 / $10.47 / $44.67
Regence BlueShield
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.63 / $3.63 / $3.63
Select Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$7.08 / $7.08 / $11.48
U of Utah Health Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.88 / $3.39 / $4.27
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.32 / $2.19 / $3.63