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Peritoneal Dialysate Concentrate, Solution Additive

Ohio rates for HCPCS A4766

Dialysate concentrate, solution, additive for peritoneal dialysis, per 10 ml

Rates data updated July 2026.

Facilitymedian $35 · 10th–90th $7$350%20%40%10th$35Professionalmedian $30 · 10th–90th $4$450%20%40%10th90th$30$5.0$10.0$20.0$50.0$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. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$6.92
Median
$6.92
Typical High
$34.67
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$34.67
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$34.67
Typical High
$51.29
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Medical Mutual of Ohio
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Molina
Setting
Professional
Modifier
Global
Typical Low
$33.11
Median
$50.12
Typical High
$60.26
SummaCare
Setting
Professional
Modifier
Global
Typical Low
$50.12
Median
$60.26
Typical High
$75.86