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Nationwide rates for HCPCS A4765

Dialysate concentrate, powder, additive for peritoneal dialysis, per packet

Facilitymedian $6 · 10th–90th $5$134,8960%50%10th90th$6Professionalmedian $5 · 10th–90th $5$50%50%90th$5$0.0$0.5$10.0$200.0$5.0K$100.0K

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$114,815.36 / $138,038.43 / $588,843.66
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $2.00 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$2.63 / $4.37 / $4.37
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$44.67 / $54.95 / $38,018.94