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Michigan rates for HCPCS A4765

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

Facilitymedian $5 · 10th–90th $5$50%50%$5Professionalmedian $5 · 10th–90th $5$50%50%$5$1.0$5.0$20.0$100.0

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

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Aetna
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$0.89
BCBS
Setting
Professional
Modifier
Global
Typical Low
$0.89
Median
$0.89
Typical High
$0.95
Health Alliance Plan
Setting
Facility
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01
Health Alliance Plan
Setting
Professional
Modifier
Global
Typical Low
$5.01
Median
$5.01
Typical High
$5.01