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Arizona rates for HCPCS A4724

Dialysate solution, any concentration of dextrose, fluid volume greater than 3999 cc but less than or equal to 4999 cc, for peritoneal dialysis

Facilitymedian $21 · 10th–90th $9–$1320%20%10th90th$21Professionalmedian $18 · 10th–90th $6–$190%50%10th90th$18$5.0$10.0$20.0$50.0$100.0$200.0

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
$3.98 / $18.20 / $18.62
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$6.46 / $10.96 / $21.88
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$6.61 / $8.91 / $13.49
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$18.62 / $100.00 / $138.04