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Arizona rates for HCPCS A4723

Dialysate solution, any concentration of dextrose, fluid volume greater than 2999 cc but less than or equal to 3999 cc, for peritoneal dialysis

Facilitymedian $35 · 10th–90th $10–$480%50%10th90th$35Professionalmedian $35 · 10th–90th $35–$350%50%$35$5.0$10.0$20.0$50.0$100.0

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
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.03 / $10.23 / $20.89
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $6.76 / $10.23
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$34.67 / $34.67 / $52.48
Medica
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$77.62 / $77.62 / $77.62