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Difelikefalin Injection

Massachusetts rates for HCPCS J0879

Injection, difelikefalin, 0.1 mcg, (for ESRD on dialysis)

Rates data updated July 2026.

How much does Difelikefalin Injection cost?

$0.24

Typical negotiated rate. In Massachusetts, July 2026.

Insurers have agreed to pay about $0.24 for this service. The price depends on where it is billed: about $0.24 from a physician practice, and about $0.31 from a hospital or other facility. The two figures are alternatives, not parts of one bill.

These are rates insurers have negotiated with providers, not the amount a patient is billed. What you owe depends on your plan's deductible and coinsurance. Based on rates published by 8 insurance carriers under federal price transparency rules.

Where it's billed changes the price

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.24$0.24 to $0.24
FacilityA hospital or hospital-owned outpatient department$0.31$0.27 to $0.48

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$1$10$100$1Kfacility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Each curve is scaled to its own total: facility and professional rates are different services, shown together to compare where they cluster. Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.39
Typical High
$0.56
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
AllWays Health Partners
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.60
Typical High
$0.79
AllWays Health Partners
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.24
Typical High
$0.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.27
Median
$0.27
Typical High
$0.54
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.31
Median
$0.50
Typical High
$1.05
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.30
Fallon Health
Setting
Facility
Modifier
Global
Typical Low
$83.18
Median
$5,888.44
Typical High
$9,772.37
Harvard Pilgrim
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.40
Mass General Brigham
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.60
Typical High
$0.79
Mass General Brigham
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.24
Typical High
$0.28
United
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$0.60
Typical High
$0.60
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.24
Typical High
$0.24

Where Massachusetts sits

The same service costs 1.7 times more in Colorado than in Nebraska. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.

Massachusetts· 31st of 51

$0.24

CO $0.38NE $0.22

Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.