go back

Kansas 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
$35.00 / $35.00 / $35.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$35.00 / $35.00 / $35.00
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$23.96 / $25.22 / $25.22
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$24.97 / $24.97 / $24.97
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$35.00 / $35.00 / $46.90
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$82.24 / $82.24 / $82.24