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Peritoneal Dialysate Concentrate, Solution Additive

Texas rates for HCPCS A4766

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$350%50%10th90th$4Professionalmedian $4 · 10th–90th $4$40%50%90th$4$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
$3.80
Median
$3.80
Typical High
$3.80
Aetna
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$100.00
Typical High
$100.00
Lucent Health
Setting
Professional
Modifier
Global
Typical Low
$2.88
Median
$3.72
Typical High
$3.72
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$34.67
Molina
Setting
Professional
Modifier
Global
Typical Low
$30.20
Median
$30.20
Typical High
$30.20
Providence
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.89
Typical High
$34.67
Providence
Setting
Professional
Modifier
Global
Typical Low
$60.26
Median
$79.43
Typical High
$79.43
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$20.42