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Peritoneal Dialysate Concentrate, Solution Additive

Pennsylvania rates for HCPCS A4766

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

Rates data updated July 2026.

Facilitymedian $5 · 10th–90th $5$50%50%$5Professionalmedian $4 · 10th–90th $4$40%50%$4$5.0$10.0$20.0$50.0

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
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Cigna
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$4.79
Median
$4.79
Typical High
$4.79
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
United
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20