go back

Texas rates for HCPCS J0879

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

Facilitymedian $0 · 10th–90th $0–$20%10%10th90th$0Professionalmedian $0 · 10th–90th $0–$10%50%90th$0$0.1$0.5$2.0$10.0$50.0

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
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1.12 / $1.12 / $1.12
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.26 / $0.42 / $0.63
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.27 / $0.58 / $1.62
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$79.43 / $85.11 / $85.11
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.23 / $0.28 / $0.39
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.21 / $1.12 / $1.12
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.24 / $0.33 / $0.78
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.24 / $0.24 / $0.24
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.09 / $0.10 / $0.15
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$0.23 / $0.23 / $0.23