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Virginia rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.78 / $13.26 / $13.58
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$11.15 / $11.15 / $15.18
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.58 / $13.58 / $85.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.58 / $13.58 / $13.58
Kaiser Permanente
Facility/Professional
Professional
Modifier
Low / Median / High Price
$3.18 / $3.86 / $5.78
Medcost
Facility/Professional
Facility
Modifier
Low / Median / High Price
$3.46 / $13.58 / $19.69
Medcost
Facility/Professional
Professional
Modifier
Low / Median / High Price
$4.00 / $5.36 / $7.87
Sentara
Facility/Professional
Facility
Modifier
Low / Median / High Price
$13.32 / $15.32 / $18.70
Sentara
Facility/Professional
Professional
Modifier
Low / Median / High Price
$13.32 / $15.32 / $18.70
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$1.94 / $2.58 / $4.70