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Difelikefalin Injection

Texas rates for HCPCS J0879

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

Rates data updated October 2026.

How much does Difelikefalin Injection cost?

$0.23

Typical negotiated rate. In Texas, October 2026.

Insurers have agreed to pay about $0.23 for this service. The price depends on where it is billed: about $0.23 from a physician practice, and about $0.33 from a hospital or other facility.

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 7 insurance carriers under federal price transparency rules.

Prices by location type

Billed byTypicalRange
Physician practiceA doctor's office, clinic or independent provider$0.23$0.23 to $0.24
FacilityA hospital or hospital-owned outpatient department$0.33$0.25 to $0.60

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$0.5$1$2facility $0professional $0

Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.

Rates by insurance carrier

Insurance Carrier
Aetna
Setting
Facility
Modifier
None
Typical Low
$0.23
Median
$0.25
Typical High
$0.52
Aetna
Setting
Professional
Modifier
None
Typical Low
$0.22
Median
$0.23
Typical High
$0.23
Aetna
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.11
Median
$0.12
Typical High
$0.12
Aetna
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.04
Median
$0.05
Typical High
$0.05
Aetna
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Aetna
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
BCBS Texas
Setting
Facility
Modifier
None
Typical Low
$0.39
Median
$0.49
Typical High
$0.72
Cigna
Setting
Facility
Modifier
None
Typical Low
$0.24
Median
$0.56
Typical High
$0.78
Cigna
Setting
Professional
Modifier
None
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Moda Health
Setting
Facility
Modifier
None
Typical Low
$0.23
Median
$0.28
Typical High
$0.52
Moda Health
Setting
Professional
Modifier
None
Typical Low
$0.22
Median
$0.23
Typical High
$0.23
Moda Health
Setting
Professional
Modifier
52 · Reduced service
Typical Low
$0.11
Median
$0.12
Typical High
$0.12
Moda Health
Setting
Professional
Modifier
53 · Discontinued
Typical Low
$0.04
Median
$0.05
Typical High
$0.05
Moda Health
Setting
Professional
Modifier
55 · Aftercare only
Typical Low
$0.03
Median
$0.03
Typical High
$0.03
Moda Health
Setting
Professional
Modifier
56 · Pre-op care only
Typical Low
$0.02
Median
$0.02
Typical High
$0.02
Providence
Setting
Facility
Modifier
None
Typical Low
$0.24
Median
$0.33
Typical High
$2.04
Providence
Setting
Professional
Modifier
None
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
United
Setting
Professional
Modifier
None
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
Wellpoint
Setting
Professional
Modifier
None
Typical Low
$0.23
Median
$0.23
Typical High
$0.23

Where Texas sits

The same service costs 1.8 times more in Arizona than in Hawaii. 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.

Texas· 44th of 51

$0.23

AZ $0.39HI $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.