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Nationwide rates for HCPCS A4726

Dialysate solution, any concentration of dextrose, fluid volume greater than 5999 cc, for peritoneal dialysis

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$20.89 / $34.67 / $64.57
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$34.67 / $34.67 / $34.67
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$29.51 / $29.51 / $29.51
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$12.30 / $20.42 / $30.20
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$15.85 / $26.92 / $2,238.72
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$22.91 / $22.91 / $54.95