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Michigan rates for HCPCS J0890

Injection, peginesatide, 0.1 mg (for ESRD on dialysis)

Facilitymedian $13 · 10th–90th $12–$200%20%40%10th90th$13Professionalmedian $11 · 10th–90th $10–$130%50%10th90th$11$0.2$1.0$5.0$20.0

Distribution of negotiated rates across all payers (price axis is log-scale). Facility and professional rates are different services and are charted separately. Small sample — interpret with caution. Need provider-level prices? Contact us.

Insurance Carrier
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $12.02
BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$11.75 / $17.78 / $20.42
BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$11.48 / $11.48 / $11.48
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $10.96
Health Alliance Plan
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $33.88
Health Alliance Plan
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $12.88 / $17.38
Priority Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $10.96 / $10.96
United
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$12.88 / $12.88 / $12.88
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $13.49