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"Y Set" Tubing for Peritoneal Dialysis

Rhode Island rates for HCPCS A4719

"Y set" tubing for peritoneal dialysis

Rates data updated October 2026.

How much rates vary

Professionalmedian $4 · 10th to 90th $4 to $4
$5$10professional $4

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$3.98
Median
$3.98
Typical High
$3.98
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$2.00
Median
$2.00
Typical High
$2.00
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.79
Median
$0.79
Typical High
$0.79
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.60
Median
$0.60
Typical High
$0.60
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.40
Median
$0.40
Typical High
$0.40
Cigna
Setting
Professional
Modifier
None
Typical Low
$10.00
Median
$10.00
Typical High
$10.00