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Peritoneal Dialysate Concentrate, Powder Additive

Maryland rates for HCPCS A4765

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

Rates data updated October 2026.

How much does Peritoneal Dialysate Concentrate, Powder Additive cost?

$5.50

Typical physician fee. In Maryland, October 2026.

Insurers have agreed to pay about $5.50 for this service. Most negotiated rates run $5.50 to $5.50.

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 3 insurance carriers under federal price transparency rules.

How much rates vary

Professionalmedian $5 · 10th to 90th $5 to $5
professional $5

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

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$5.50
Typical High
$5.50
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.81
Median
$0.81
Typical High
$0.81
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.55
Median
$0.55
Typical High
$0.55
Cigna
Setting
Professional
Modifier
None
Typical Low
$2.63
Median
$2.63
Typical High
$2.63
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$1.66
Median
$1.66
Typical High
$1.66

Where Maryland sits

The same service costs 416.9 times more in Alabama than in Connecticut. 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.

Maryland· 40th of 51

$5.50

AL $282CT $0.68

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.