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Peritoneal Dialysis Catheter Anchoring Device, Belt

Montana rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $5$320%20%10th90th$5Professionalmedian $5 · 10th–90th $5$200%50%90th$5$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$19.95
Providence
Setting
Facility
Modifier
Global
Typical Low
$4.90
Median
$5.50
Typical High
$32.36
Providence
Setting
Professional
Modifier
Global
Typical Low
$79.43
Median
$79.43
Typical High
$85.11