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Arkansas rates for HCPCS A4721

Dialysate solution, any concentration of dextrose, fluid volume greater than 999 cc but less than or equal to 1999 cc, for peritoneal dialysis

Facilitymedian $1,000,000 · 10th–90th $151,356–$1,000,0000%50%10th$1,000,000Professionalmedian $20 · 10th–90th $20–$200%50%$20$10.0$100.0$1.0K$10.0K$100.0K$1.0M

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
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$19.95 / $19.95 / $19.95
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$151,356.12 / $1,000,000.00 / $1,000,000.00
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $15.85 / $20.89