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Dialysate, over 3999 to 4999 cc, for Peritoneal Dialysis

Wyoming 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

Rates data updated July 2026.

How much rates vary

Professionalmedian $19 · 10th to 90th $4 to $19
$5.0$10.0$20.0$50.0$100.0professional $19

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
Global
Typical Low
$4.07
Median
$18.62
Typical High
$18.62