| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.26 | $13.58 | $13.58 | |
Cigna
| Professional | $4.32 | $13.58 | $13.58 | |
MVP Health Care
| Professional | $3.98 | $13.58 | $13.58 | |
United
| Professional | $1.46 | $3.55 | $7.81 |
Protamine Sulfate For Hemodialysis Per 50 Mg (Special Coverage Instructions Apply. See Mcm: 4270)
| Insurance Carrier | Facility/Professional | Modifier | Low Price | Median Price | High Price |
|---|---|---|---|---|---|
Aetna
| Professional | $13.26 | $13.58 | $13.58 | |
Cigna
| Professional | $4.32 | $13.58 | $13.58 | |
MVP Health Care
| Professional | $3.98 | $13.58 | $13.58 | |
United
| Professional | $1.46 | $3.55 | $7.81 |