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Idaho rates for HCPCS A4765

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

Facilitymedian $6 · 10th–90th $5$2820%20%40%10th90th$6Professionalmedian $5 · 10th–90th $5$2820%50%90th$5$5.0$10.0$20.0$50.0$100.0$200.0$500.0

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
Setting
Facility
Modifier
Global
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$281.84
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$5.50
Median
$5.62
Typical High
$281.84
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20