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Peritoneal Dialysate Concentrate, Powder Additive

Mississippi rates for HCPCS A4765

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

Rates data updated July 2026.

How much rates vary

Facilitymedian $282 · 10th to 90th $282 to $282Professionalmedian $5 · 10th to 90th $5 to $282
$10$20$50$100$200facility $282professional $5

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Small sample; interpret with caution. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

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
$5.50
Median
$5.50
Typical High
$281.84
Molina
Setting
Professional
Modifier
Global
Typical Low
$19.95
Median
$25.12
Typical High
$67.61