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Dialysate, over 249 to 999 cc, for Peritoneal Dialysis

Nationwide rates for HCPCS A4720

Dialysate solution, any concentration of dextrose, fluid volume greater than 249 cc, but less than or equal to 999 cc, for peritoneal dialysis

Rates data updated July 2026.

Facilitymedian $19 · 10th–90th $17$350%50%10th90th$19Professionalmedian $19 · 10th–90th $15$190%50%10th$19$0.0$0.5$10.0$200.0$5.0K$100.0K

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
Facility
Modifier
Global
Typical Low
$15.14
Median
$19.50
Typical High
$25.12
Aetna
Setting
Professional
Modifier
Global
Typical Low
$16.60
Median
$19.50
Typical High
$19.50
BCBS
Setting
Professional
Modifier
Global
Typical Low
$9.77
Median
$20.42
Typical High
$40.74
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Cigna
Setting
Professional
Modifier
Global
Typical Low
$14.13
Median
$17.38
Typical High
$39.81
United
Setting
Facility
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$38,018.94