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Difelikefalin Injection

Pennsylvania 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 Pennsylvania, 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 $0.37 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 6 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$0.37$0.24 to $0.62

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
$0.37
Typical High
$0.71
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Capital Blue Cross
Setting
Facility
Modifier
Global
Typical Low
$0.20
Median
$0.23
Typical High
$8,511.38
Capital Blue Cross
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.83
Typical High
$0.89
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Geisinger
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
Martin's Point
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.36
Typical High
$0.68
Martin's Point
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.62
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.32

Where Pennsylvania 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.

Pennsylvania· 19th 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.