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Virginia rates for HCPCS A4765

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

Facilitymedian $6 · 10th–90th $5$110%50%10th90th$6Professionalmedian $5 · 10th–90th $1$50%50%10th$5$0.0$0.2$2.0$20.0$200.0$2.0K

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$5.01 / $5.01 / $5.50
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.68 / $0.68 / $1.12
Medcost
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$5.50 / $5.75 / $10.23
Sentara
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80
Sentara
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$100.00 / $4,073.80 / $4,073.80