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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 October 2026.

How much rates vary

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

Distribution of negotiated rates across all payers (price axis is log-scale). 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
None
Typical Low
$281.84
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
None
Typical Low
$5.50
Median
$281.84
Typical High
$281.84
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.81
Median
$42.66
Typical High
$42.66
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.55
Median
$28.18
Typical High
$28.18
Molina
Setting
Professional
Modifier
None
Typical Low
$21.38
Median
$25.12
Typical High
$50.12