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Miscellaneous Dialysis Supplies

Wisconsin rates for HCPCS A4913

Miscellaneous dialysis supplies, not otherwise specified

Rates data updated July 2026.

Facilitymedian $8 · 10th–90th $8$110%50%90th$8Professionalmedian $85 · 10th–90th $8$4,1690%20%10th90th$85$1.0$5.0$20.0$100.0$500.0$2.0K$10.0K

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
Facility
Modifier
Global
Typical Low
$7.94
Median
$14.45
Typical High
$17.38
Aetna
Setting
Professional
Modifier
Global
Typical Low
$7.94
Median
$85.11
Typical High
$4,168.69
DeanCare
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.55
Medica
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$11.22
Medica
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13
Molina
Setting
Professional
Modifier
Global
Typical Low
$32.36
Median
$58.88
Typical High
$70.79
Prevea360
Setting
Facility
Modifier
Global
Typical Low
$7.94
Median
$7.94
Typical High
$9.55
Quartz
Setting
Facility
Modifier
Global
Typical Low
$64.57
Median
$64.57
Typical High
$64.57
Quartz
Setting
Professional
Modifier
Global
Typical Low
$331.13
Median
$331.13
Typical High
$331.13