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Hemodialysis Shunt Accessory

California rates for HCPCS A4740

Shunt accessory, for hemodialysis, any type, each

Rates data updated July 2026.

How much does Hemodialysis Shunt Accessory cost?

$28.84

Typical negotiated rate. In California, July 2026.

Insurers have agreed to pay about $28.84 for this service. The price depends on where it is billed: about $28.84 from a physician practice, and about $114,815 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

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 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$28.84$11.75 to $28.84
FacilityA hospital or hospital-owned outpatient department$114,815$35.48 to $138,038

How much rates vary

Facilitymedian $114,815 · 10th to 90th $29 to $151,356Professionalmedian $29 · 10th to 90th $12 to $29
$0.1$1.0$10.0$100.0$1.0K$10.0K$100.0Kfacility $114,815professional $29

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
Facility
Modifier
Global
Typical Low
$11.75
Median
$11.75
Typical High
$11.75
Aetna
Setting
Professional
Modifier
Global
Typical Low
$11.75
Median
$28.84
Typical High
$28.84
Anthem BCBS
Setting
Facility
Modifier
Global
Typical Low
$114,815.36
Median
$138,038.43
Typical High
$588,843.66
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$2.00
Median
$3.39
Typical High
$3.98
Blue Shield
Setting
Professional
Modifier
Global
Typical Low
$12.30
Median
$18.62
Typical High
$29.51
Kaiser Permanente
Setting
Professional
Modifier
Global
Typical Low
$104.71
Median
$398.11
Typical High
$831.76
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$1,412.54
Median
$1,412.54
Typical High
$1,548.82
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$1,995.26
Median
$1,995.26
Typical High
$1,995.26
Optum
Setting
Professional
Modifier
Global
Typical Low
$54.95
Median
$54.95
Typical High
$70.79
Providence
Setting
Facility
Modifier
Global
Typical Low
$11.75
Median
$28.84
Typical High
$47.86
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$89.13
United
Setting
Professional
Modifier
Global
Typical Low
$44.67
Median
$44.67
Typical High
$44.67

Where California sits

The same service costs 3.5 times more in South Dakota than in New Hampshire. Every bar is a state, most expensive first. Pick one to see its carriers and full range.

California $28.84 · 11th of 51
SD $41.69NH $11.75

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.