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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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$19.67 / $19.67 / $19.67
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$9.75 / $15.00 / $30.00
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.00 / $64.00 / $64.00
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$14.11 / $14.11 / $14.11
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$32.13 / $32.13 / $32.13