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Difelikefalin Injection

Texas rates for HCPCS J0879

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

Rates data updated July 2026.

How much does Difelikefalin Injection cost?

$0.23

Typical negotiated rate. In Texas, July 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 $0.28 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$0.23$0.23 to $0.23
FacilityA hospital or hospital-owned outpatient department$0.28$0.23 to $0.52

How much rates vary

Facilitymedian $0 · 10th to 90th $0 to $1Professionalmedian $0 · 10th to 90th $0 to $0
$0.2$1$5$20facility $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
$0.21
Median
$0.23
Typical High
$0.52
Aetna
Setting
Professional
Modifier
Global
Typical Low
$0.22
Median
$0.23
Typical High
$0.28
BCBS
Setting
Facility
Modifier
Global
Typical Low
$0.42
Median
$0.48
Typical High
$0.71
Cigna
Setting
Facility
Modifier
Global
Typical Low
$0.27
Median
$0.60
Typical High
$1.62
Cigna
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
Lucent Health
Setting
Facility
Modifier
Global
Typical Low
$79.43
Median
$85.11
Typical High
$85.11
Moda Health
Setting
Facility
Modifier
Global
Typical Low
$0.23
Median
$0.28
Typical High
$0.33
Moda Health
Setting
Professional
Modifier
Global
Typical Low
$0.21
Median
$0.21
Typical High
$0.21
Providence
Setting
Facility
Modifier
Global
Typical Low
$0.24
Median
$0.33
Typical High
$0.78
Providence
Setting
Professional
Modifier
Global
Typical Low
$0.24
Median
$0.24
Typical High
$0.24
United
Setting
Facility
Modifier
Global
Typical Low
$0.28
Median
$0.46
Typical High
$0.46
United
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.23
Wellpoint
Setting
Professional
Modifier
Global
Typical Low
$0.23
Median
$0.23
Typical High
$0.31

Where Texas 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.

Texas· 49th of 51

$0.23

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.