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Nationwide rates for HCPCS A4765

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$5.01 / $5.01 / $10.00
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.01 / $5.01 / $5.50
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$114,815.36 / $138,038.43 / $588,843.66
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.68 / $2.00 / $2.75
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$64.57 / $64.57 / $64.57
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$2.63 / $2.63 / $4.37
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$5.25 / $44.67 / $54.95