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Ohio rates for HCPCS J0890

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

Facilitymedian $29 · 10th–90th $26–$440%50%10th90th$29Professionalmedian $10 · 10th–90th $8–$130%20%40%10th90th$10$0.0$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
$25.70 / $28.84 / $43.65
Aetna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $12.88
Anthem BCBS
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$0.02 / $0.02 / $0.02
Anthem BCBS
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.77 / $14.13
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$9.33 / $12.88 / $85.11
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $11.48
Medical Mutual of Ohio
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.13 / $12.88 / $85.11
Medical Mutual of Ohio
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $12.88
Molina
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $9.12 / $12.02
SummaCare
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$12.59 / $50.12 / $75.86
United
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.96 / $12.88 / $12.88