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See a sample rate comparisonNDC 55513-0003-01 Fee Schedule
ARANESP (PF) 0.04 MG/ML
| Key Fact | Detail |
|---|---|
| Complexity Level | Moderate |
| Related HCPCS Codes | • J0881 - Injection, darbepoetin alfa, 1 microgram (non-ESRD use) |
National average reimbursement for NDC 55513-0003-01 by major payers:
$N/A
BCBS / Anthem
$N/A
UnitedHealthcare
$N/A
Aetna
$N/A
Cigna
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NDC 55513-0003-01
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See a sample payer proposalNDC 55513-0003-01 vs. Other Codes
The table lists codes related to 55513-0003-01. Select one to see its fee schedule.
| Code | Complexity | Description |
|---|---|---|
| 55513-0003-01-NDC | Moderate | ARANESP (PF) 0.04 MG/ML |
| J0881-HCPCS | Low | Injection, darbepoetin alfa, 1 microgram (non-ESRD use) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including NDC 55513-0003-01. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 55513-0003-01 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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