go back

Peritoneal Dialysate Concentrate, Solution Additive

Virginia rates for HCPCS A4766

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

Rates data updated July 2026.

Facilitymedian $4 · 10th–90th $4$80%20%40%10th90th$4Professionalmedian $4 · 10th–90th $4$230%50%90th$4$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
Setting
Professional
Modifier
Global
Typical Low
$3.80
Median
$3.80
Typical High
$3.80
Anthem BCBS
Setting
Professional
Modifier
Global
Typical Low
$15.14
Median
$15.14
Typical High
$25.12
Medcost
Setting
Facility
Modifier
Global
Typical Low
$3.80
Median
$3.98
Typical High
$7.24
Sentara
Setting
Facility
Modifier
Global
Typical Low
$100.00
Median
$4,073.80
Typical High
$4,073.80
Sentara
Setting
Professional
Modifier
Global
Typical Low
$100.00
Median
$4,073.80
Typical High
$4,073.80