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Peritoneal Dialysis Catheter Anchoring Device, Belt

Utah rates for HCPCS A4653

Peritoneal dialysis catheter anchoring device, belt, each

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $8$5,0120%50%90th$8Professionalmedian $5 · 10th–90th $5$200%50%90th$5$1.0$5.0$20.0$100.0$500.0$2.0K

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
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$7.94
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.90
Median
$4.90
Typical High
$19.95
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.93
Median
$0.93
Typical High
$0.93
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
Global
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
Global
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61
U of Utah Health Plan
Setting
Professional
Modifier
Global
Typical Low
$0.68
Median
$0.68
Typical High
$0.76