go back

Wisconsin rates for HCPCS J0879

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

Insurance Carrier
Aetna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.49
Aetna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.22 / $0.22 / $0.28
Anthem BCBS
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.11 / $0.12 / $0.13
Anthem BCBS
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.24
Cigna
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.05 / $0.09 / $0.24
Cigna
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
DeanCare
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.28
Medica
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.08 / $0.22 / $0.28
Medica
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.30
Molina
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.87 / $50.00 / $85.00
Prevea360
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.22 / $0.28 / $0.28
Quartz
Facility/Professional
Facility
Modifier
Low / Median / High Price
$0.24 / $0.24 / $85.00
Quartz
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.24 / $0.24 / $0.24
United
Facility/Professional
Professional
Modifier
Low / Median / High Price
$0.23 / $0.23 / $0.30