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Texas rates for HCPCS J0890

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

Facilitymedian $13 · 10th–90th $10–$150%50%10th90th$13Professionalmedian $11 · 10th–90th $8–$130%20%40%10th90th$11$0.1$0.2$1.0$5.0$20.0$100.0$500.0

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
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.72 / $12.02
Cigna
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$8.51 / $20.42 / $70.79
Cigna
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
Lucent Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$100.00 / $100.00 / $100.00
Lucent Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$1,862.09 / $1,862.09 / $1,862.09
Moda Health
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $12.88
Moda Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$10.00 / $10.96 / $12.02
Oscar Health
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$15.85 / $16.60 / $30.20
Providence
Facility/Professional
Facility
Modifier
Typical Low / Median / Typical High
$10.47 / $12.88 / $12.88
Providence
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.13 / $8.13 / $8.13
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
$12.30 / $12.88 / $12.88
Wellpoint
Facility/Professional
Professional
Modifier
Typical Low / Median / Typical High
$8.91 / $8.91 / $11.22