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Topical Anesthetic, for Dialysis, per G

Utah rates for HCPCS A4736

Topical anesthetic, for dialysis, per g

Rates data updated October 2026.

How much does Topical Anesthetic, for Dialysis, per G cost?

$15.14

Typical physician fee. In Utah, October 2026.

Insurers have agreed to pay about $15.14 for this service. Most negotiated rates run $1.70 to $44.67.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 4 insurance carriers under federal price transparency rules.

How much rates vary

Facilitymedian $15 · 10th to 90th $15 to $15Professionalmedian $15 · 10th to 90th $2 to $60
$10$100$1Kfacility $15professional $15

Distribution of negotiated rates across all payers (price axis is log-scale). Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
None
Typical Low
$15.14
Median
$15.14
Typical High
$15.14
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$7.59
Median
$7.59
Typical High
$7.59
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$3.02
Median
$3.02
Typical High
$3.02
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$2.24
Median
$2.24
Typical High
$2.24
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$1.51
Median
$1.51
Typical High
$1.51
Cigna
Setting
Professional
Modifier
None
Typical Low
$1.70
Median
$1.70
Typical High
$1.70
Molina
Setting
Professional
Modifier
None
Typical Low
$30.20
Median
$44.67
Typical High
$60.26
Select Health
Setting
Facility
Modifier
None
Typical Low
$5,011.87
Median
$5,011.87
Typical High
$5,011.87
Select Health
Setting
Professional
Modifier
None
Typical Low
$4,265.80
Median
$5,011.87
Typical High
$5,128.61

Where Utah sits

The same service costs 61.7 times more in Montana than in Georgia. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Utah· 3rd of 51

$15.14

MT $79.43GA $1.29

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.