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Wisconsin rates for HCPCS A4802

Protamine sulfate, for hemodialysis, per 50 mg

Facilitymedian $13 · 10th–90th $5$230%20%10th90th$13Professionalmedian $13 · 10th–90th $3$150%20%40%10th90th$13$0.1$0.2$1.0$5.0$20.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.02 / $28.18 / $28.18
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.02 / $12.88 / $13.49
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.39 / $14.79 / $14.79
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.91 / $12.02 / $23.44
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$4.68 / $7.08 / $15.14
DeanCare
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $12.88 / $15.85
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$3.72 / $13.18 / $15.85
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.82 / $2.19 / $56.23
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$32.36 / $54.95 / $70.79
Network Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.62 / $5.62 / $5.62
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$3.98 / $6.76 / $10.96
Quartz
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$13.49 / $85.11 / $100.00
Quartz
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$13.49 / $13.49 / $72.44
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.25 / $5.25 / $5.25
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.38 / $2.04 / $3.80