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Connecticut 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

Professionalmedian $19 · 10th–90th $19–$190%50%$19$0.0$0.2$2.0$20.0$200.0$2.0K$20.0K

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.05 / $19.05 / $19.05
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.51 / $11.75 / $30.20
ConnectiCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$64,565.42 / $64,565.42 / $64,565.42
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $50.12 / $38,018.94