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South Dakota rates for HCPCS A4765

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

Facilitymedian $15 · 10th–90th $9$5750%20%40%10th90th$15Professionalmedian $5 · 10th–90th $5$2820%50%90th$5$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. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $281.84
Medica
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.12 / $10.96 / $575.44