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Michigan rates for HCPCS J0879

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

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$30.20 / $30.20 / $30.20
BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.27 / $0.50 / $1.00
BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.23 / $0.23
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
Health Alliance Plan
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.25 / $0.28 / $0.87
Health Alliance Plan
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.30 / $0.33 / $0.42
Priority Health
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
United
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.06 / $0.06 / $0.09
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.24